45D2138010 CLIA NUMBER - WALMART PHARMACY 10-0131

Laboratory Demographics

  • CLIA Code: 45D2138010
  • Facility Name: WALMART PHARMACY 10-0131
  • Facility Address: 2311 S JEFFERSON AVE
    MT PLEASANT, TX
    ZIP 75455
  • Facility Phone: 903 572-7924
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. HOLMES
  • NPI Number: 1538186705
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138010
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0131
Street 2311 S JEFFERSON AVE
City MT PLEASANT
State TX
ZIP 75455
Phone 903 572-7924
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 JENNIFER R. HOLMES

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