45D2139258 CLIA NUMBER - WALMART PHARMACY 10-0901

Laboratory Demographics

  • CLIA Code: 45D2139258
  • Facility Name: WALMART PHARMACY 10-0901
  • Facility Address: 550 SOUTH 123 BYPASS
    SEGUIN, TX
    ZIP 78155
  • Facility Phone: 830 372-5880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DREW M. HUNTER
  • NPI Number: 1013935808
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139258
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0901
Street 550 SOUTH 123 BYPASS
City SEGUIN
State TX
ZIP 78155
Phone 830 372-5880
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 DREW M. HUNTER

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