45D2137971 CLIA NUMBER - WALMART PHARMACY 10-1129

Laboratory Demographics

  • CLIA Code: 45D2137971
  • Facility Name: WALMART PHARMACY 10-1129
  • Facility Address: 13201 RANCH RD 620 N
    AUSTIN, TX
    ZIP 78717
  • Facility Phone: 512 335-5275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIMANSU PATEL
  • NPI Number: 1881611044
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137971
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1129
Street 13201 RANCH RD 620 N
City AUSTIN
State TX
ZIP 78717
Phone 512 335-5275
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 HIMANSU PATEL

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