45D2136875 CLIA NUMBER - WALMART PHARMACY 1254

Laboratory Demographics

  • CLIA Code: 45D2136875
  • Facility Name: WALMART PHARMACY 1254
  • Facility Address: 1521 INTERSTATE 35 N
    BELLMEAD, TX
    ZIP 76705
  • Facility Phone: 254 867-0211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HETAVI PATEL
  • NPI Number: 1992723795
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136875
LAB Type Pharmacy
Facility Name WALMART PHARMACY 1254
Street 1521 INTERSTATE 35 N
City BELLMEAD
State TX
ZIP 76705
Phone 254 867-0211
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 HETAVI PATEL

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