45D2137941 CLIA NUMBER - WALMART PHARMACY 10-5479

Laboratory Demographics

  • CLIA Code: 45D2137941
  • Facility Name: WALMART PHARMACY 10-5479
  • Facility Address: 1548 FM 685
    PFLUGERVILLE, TX
    ZIP 78660
  • Facility Phone: 512 252-0197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAURITZ H. MARNEWICK
  • NPI Number: 1114051257
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137941
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5479
Street 1548 FM 685
City PFLUGERVILLE
State TX
ZIP 78660
Phone 512 252-0197
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 MAURITZ H. MARNEWICK

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