45D2139256 CLIA NUMBER - WALMART PHARMACY 10-0490

Laboratory Demographics

  • CLIA Code: 45D2139256
  • Facility Name: WALMART PHARMACY 10-0490
  • Facility Address: 1250 FLOUR BLUFF DRIVE
    CORPUS CHRISTI, TX
    ZIP 78418
  • Facility Phone: 361 937-2626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE CHI
  • NPI Number: 1427075688
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139256
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0490
Street 1250 FLOUR BLUFF DRIVE
City CORPUS CHRISTI
State TX
ZIP 78418
Phone 361 937-2626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director JACQUELINE CHI

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