45D2136854 CLIA NUMBER - WALMART PHARMACY 10-1257

Laboratory Demographics

  • CLIA Code: 45D2136854
  • Facility Name: WALMART PHARMACY 10-1257
  • Facility Address: 2614 N SWENSON ST
    STAMFORD, TX
    ZIP 79553
  • Facility Phone: 325 773-2779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PARAS NAYYAR
  • NPI Number: 1417974676
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136854
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1257
Street 2614 N SWENSON ST
City STAMFORD
State TX
ZIP 79553
Phone 325 773-2779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director PARAS NAYYAR

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This page was last updated on: 9/29/2025