45D2137986 CLIA NUMBER - WALMART PHARMACY 10-0793

Laboratory Demographics

  • CLIA Code: 45D2137986
  • Facility Name: WALMART PHARMACY 10-0793
  • Facility Address: 1701 N 23RD ST
    CANYON, TX
    ZIP 79015
  • Facility Phone: 806 655-2581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA A. ALEXANDER
  • NPI Number: 1477570612
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137986
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0793
Street 1701 N 23RD ST
City CANYON
State TX
ZIP 79015
Phone 806 655-2581
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 JESSICA A. ALEXANDER

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