45D2138601 CLIA NUMBER - WALMART 10-0407

Laboratory Demographics

  • CLIA Code: 45D2138601
  • Facility Name: WALMART 10-0407
  • Facility Address: 1400 LOWES BLVD
    KILLEEN, TX
    ZIP 76542
  • Facility Phone: 254 526-4433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRANG N. LEE
  • NPI Number: 1003833245
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2138601
LAB Type Pharmacy
Facility Name WALMART 10-0407
Street 1400 LOWES BLVD
City KILLEEN
State TX
ZIP 76542
Phone 254 526-4433
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 TRANG N. LEE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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