45D2136881 CLIA NUMBER - WALMART PHARMACY 10-0927

Laboratory Demographics

  • CLIA Code: 45D2136881
  • Facility Name: WALMART PHARMACY 10-0927
  • Facility Address: 1501 N INTERSTATE 27
    PLAINVIEW, TX
    ZIP 79072
  • Facility Phone: 806 293-4219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS M. WEST
  • NPI Number: 1922026715
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136881
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0927
Street 1501 N INTERSTATE 27
City PLAINVIEW
State TX
ZIP 79072
Phone 806 293-4219
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 ALEXIS M. WEST

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