45D2138519 CLIA NUMBER - WALMART PHARMACY 10-0508

Laboratory Demographics

  • CLIA Code: 45D2138519
  • Facility Name: WALMART PHARMACY 10-0508
  • Facility Address: 1216 JUNCTION HWY
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 830 896-5511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY L. KING
  • NPI Number: 1578580759
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138519
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0508
Street 1216 JUNCTION HWY
City KERRVILLE
State TX
ZIP 78028
Phone 830 896-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director CASEY L. KING

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