45D2137980 CLIA NUMBER - WALMART PHARMACY 10-1078

Laboratory Demographics

  • CLIA Code: 45D2137980
  • Facility Name: WALMART PHARMACY 10-1078
  • Facility Address: 2005 HUTCHINS AVE
    BALLINGER, TX
    ZIP 76821
  • Facility Phone: 325 365-5741
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BONNIE J. SHRADER
  • NPI Number: 1730107533
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137980
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1078
Street 2005 HUTCHINS AVE
City BALLINGER
State TX
ZIP 76821
Phone 325 365-5741
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 BONNIE J. SHRADER

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