45D2136886 CLIA NUMBER - WALMART PHARMACY 10-0822

Laboratory Demographics

  • CLIA Code: 45D2136886
  • Facility Name: WALMART PHARMACY 10-0822
  • Facility Address: 3700 E INTERSTATE 40
    AMARILLO, TX
    ZIP 79103
  • Facility Phone: 806 373-2611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTY D. CAMPBELL
  • NPI Number: 1487672275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136886
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0822
Street 3700 E INTERSTATE 40
City AMARILLO
State TX
ZIP 79103
Phone 806 373-2611
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 MISTY D. CAMPBELL

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