45D2137989 CLIA NUMBER - WALMART PHARMACY 10-0475

Laboratory Demographics

  • CLIA Code: 45D2137989
  • Facility Name: WALMART PHARMACY 10-0475
  • Facility Address: 2701 S INTERSTATE 35
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: 512 244-9051
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UMAR AHMED
  • NPI Number: 1417975228
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137989
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0475
Street 2701 S INTERSTATE 35
City ROUND ROCK
State TX
ZIP 78664
Phone 512 244-9051
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 UMAR AHMED

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