45D2138599 CLIA NUMBER - WALMART 10-2991

Laboratory Demographics

  • CLIA Code: 45D2138599
  • Facility Name: WALMART 10-2991
  • Facility Address: 201 WALTON WAY
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 528-8794
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA XUEYI LIM
  • NPI Number: 1205853348
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138599
LAB Type Pharmacy
Facility Name WALMART 10-2991
Street 201 WALTON WAY
City CEDAR PARK
State TX
ZIP 78613
Phone 512 528-8794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director REBECCA XUEYI LIM

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