45D2138309 CLIA NUMBER - WALMART PHARMACY 10-0364

Laboratory Demographics

  • CLIA Code: 45D2138309
  • Facility Name: WALMART PHARMACY 10-0364
  • Facility Address: 810 HURST ST
    CENTER, TX
    ZIP 75935
  • Facility Phone: 936 598-2921
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANG C. CHUNG
  • NPI Number: 1487671590
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138309
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0364
Street 810 HURST ST
City CENTER
State TX
ZIP 75935
Phone 936 598-2921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director TANG C. CHUNG

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