Healther Providers Data Logo

45D2136917 CLIA NUMBER - WALMART PHARMACY 10-2891

Laboratory Demographics

CLIA Number: 45D2136917

Facility Name: WALMART PHARMACY 10-2891

Facility Address:
2450 NW LOOP 338
ODESSA, TX
ZIP 79763
Get Directions

Facility Phone Number: 432 332-6004

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1750308870

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 45D2136917
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2891
Street 2450 NW LOOP 338
City ODESSA
State TX
ZIP 79763
Phone 432 332-6004
CertificateType 4
CertificateEffectiveDate 9/18/2023
CertificateExpirationDate 9/17/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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