45D2137988 CLIA NUMBER - WALMART PHARMACY 10-0404

Laboratory Demographics

  • CLIA Code: 45D2137988
  • Facility Name: WALMART PHARMACY 10-0404
  • Facility Address: 1015 HIGHWAY 80
    SAN MARCOS, TX
    ZIP 78666
  • Facility Phone: 512 353-3000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSANA S. DAVILA
  • NPI Number: 1649297821
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137988
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0404
Street 1015 HIGHWAY 80
City SAN MARCOS
State TX
ZIP 78666
Phone 512 353-3000
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 SUSANA S. DAVILA

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