45D2137978 CLIA NUMBER - WALMART PHARMACY 10-2133

Laboratory Demographics

  • CLIA Code: 45D2137978
  • Facility Name: WALMART PHARMACY 10-2133
  • Facility Address: 5017 W HIGHWAY 290
    AUSTIN, TX
    ZIP 78735
  • Facility Phone: 512 892-6175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN WOHLERS
  • NPI Number: 1326066168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137978
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2133
Street 5017 W HIGHWAY 290
City AUSTIN
State TX
ZIP 78735
Phone 512 892-6175
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 JOHN WOHLERS

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