45D2136881 CLIA NUMBER - WALMART PHARMACY 10-0927

Laboratory Demographics

CLIA Number: 45D2136881

Facility Name: WALMART PHARMACY 10-0927

Facility Address:
1501 N INTERSTATE 27
PLAINVIEW, TX
ZIP 79072
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Facility Phone Number: 806 293-4219

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922026715

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024