45D2138069 CLIA NUMBER - WALMART PHARMACY 10-1186

Laboratory Demographics

  • CLIA Code: 45D2138069
  • Facility Name: WALMART PHARMACY 10-1186
  • Facility Address: 2121 HIGHWAY 146 BYP
    LIBERTY, TX
    ZIP 77575
  • Facility Phone: 936 336-2257
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA G. ADAMS
  • NPI Number: 1275551079
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138069
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1186
Street 2121 HIGHWAY 146 BYP
City LIBERTY
State TX
ZIP 77575
Phone 936 336-2257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director GINA G. ADAMS

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