45D2137990 CLIA NUMBER - WALMART PHARMACY 10-0600

Laboratory Demographics

  • CLIA Code: 45D2137990
  • Facility Name: WALMART PHARMACY 10-0600
  • Facility Address: 2801 NO CHARLES ST
    PAMPA, TX
    ZIP 79065
  • Facility Phone: 806 669-1231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANNON J. BENNER
  • NPI Number: 1477570604
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2137990
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0600
Street 2801 NO CHARLES ST
City PAMPA
State TX
ZIP 79065
Phone 806 669-1231
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 SHANNON J. BENNER

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