45D2138046 CLIA NUMBER - WALMART PHARMACY 10-0523

Laboratory Demographics

  • CLIA Code: 45D2138046
  • Facility Name: WALMART PHARMACY 10-0523
  • Facility Address: 4609 NW LOOP 436
    CARTHAGE, TX
    ZIP 75633
  • Facility Phone: 903 693-6502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDY NOLES-AKIN
  • NPI Number: 1679591333
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138046
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0523
Street 4609 NW LOOP 436
City CARTHAGE
State TX
ZIP 75633
Phone 903 693-6502
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 BRANDY NOLES-AKIN

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