45D2137940 CLIA NUMBER - WALMART PHARMACY 10-4554

Laboratory Demographics

  • CLIA Code: 45D2137940
  • Facility Name: WALMART PHARMACY 10-4554
  • Facility Address: 2525 W ANDERSON LN
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 512 354-8904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEKO N. ADORKA
  • NPI Number: 1306153366
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137940
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4554
Street 2525 W ANDERSON LN
City AUSTIN
State TX
ZIP 78757
Phone 512 354-8904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director NEKO N. ADORKA

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