45D2136855 CLIA NUMBER - WALMART PHARMACY 10-0898

Laboratory Demographics

  • CLIA Code: 45D2136855
  • Facility Name: WALMART PHARMACY 10-0898
  • Facility Address: 1903 S CEDAR ST
    PECOS, TX
    ZIP 79772
  • Facility Phone: 432 445-4255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNDAY O. ALAAFIA
  • NPI Number: 1376560516
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136855
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0898
Street 1903 S CEDAR ST
City PECOS
State TX
ZIP 79772
Phone 432 445-4255
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 SUNDAY O. ALAAFIA

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