45D2142260 CLIA NUMBER - WALMART PHARMACY 10-4162

Laboratory Demographics

  • CLIA Code: 45D2142260
  • Facility Name: WALMART PHARMACY 10-4162
  • Facility Address: 12639 BLANCO RD
    SAN ANTONIO, TX
    ZIP 78231
  • Facility Phone: 210 591-6285
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARISA M. MCBRAYER
  • NPI Number: 1326452160
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2142260
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4162
Street 12639 BLANCO RD
City SAN ANTONIO
State TX
ZIP 78231
Phone 210 591-6285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Pharmacy
Lab Director MARISA M. MCBRAYER

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