45D2138534 CLIA NUMBER - WALMART PHARMACY 10-0385

Laboratory Demographics

  • CLIA Code: 45D2138534
  • Facility Name: WALMART PHARMACY 10-0385
  • Facility Address: 1202 E BROADWAY STREET
    CUERO, TX
    ZIP 77954
  • Facility Phone: 361 275-9260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUNG T. NGUYEN
  • NPI Number: 1104843382
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138534
LAB Type Physician Office
Facility Name WALMART PHARMACY 10-0385
Street 1202 E BROADWAY STREET
City CUERO
State TX
ZIP 77954
Phone 361 275-9260
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 Physician Office
Lab Director HUNG T. NGUYEN

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