45D2136869 CLIA NUMBER - WALMART PHARMACY 10-0900

Laboratory Demographics

  • CLIA Code: 45D2136869
  • Facility Name: WALMART PHARMACY 10-0900
  • Facility Address: 2801 AVENUE F NW
    CHILDRESS, TX
    ZIP 79201
  • Facility Phone: 940 937-6168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL C. STINGEL
  • NPI Number: 1811914054
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136869
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0900
Street 2801 AVENUE F NW
City CHILDRESS
State TX
ZIP 79201
Phone 940 937-6168
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 CARL C. STINGEL

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