45D2138008 CLIA NUMBER - WALMART PHARMACY 10-0181

Laboratory Demographics

  • CLIA Code: 45D2138008
  • Facility Name: WALMART PHARMACY 10-0181
  • Facility Address: 800 JAMES BOWIE DRIVE
    NEW BOSTON, TX
    ZIP 75570
  • Facility Phone: 903 628-6561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER E. SPIVEY
  • NPI Number: 1821015066
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138008
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0181
Street 800 JAMES BOWIE DRIVE
City NEW BOSTON
State TX
ZIP 75570
Phone 903 628-6561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Pharmacy
Lab Director AMBER E. SPIVEY

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