45D2137946 CLIA NUMBER - WALMART PHARMACY 10-0945

Laboratory Demographics

  • CLIA Code: 45D2137946
  • Facility Name: WALMART PHARMACY 10-0945
  • Facility Address: 702 W LOOP 289
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 793-3001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. BAKER
  • NPI Number: 1285651422
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137946
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0945
Street 702 W LOOP 289
City LUBBOCK
State TX
ZIP 79416
Phone 806 793-3001
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 CHARLES D. BAKER

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