45D2147597 CLIA NUMBER - WALMART PHARMACY 10-5165

Laboratory Demographics

  • CLIA Code: 45D2147597
  • Facility Name: WALMART PHARMACY 10-5165
  • Facility Address: 1421 FRONTAGE ROAD
    ALAMO, TX
    ZIP 78516
  • Facility Phone: 956 782-2156
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLARISSA PENA
  • NPI Number: 1194742247
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2147597
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5165
Street 1421 FRONTAGE ROAD
City ALAMO
State TX
ZIP 78516
Phone 956 782-2156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Pharmacy
Lab Director CLARISSA PENA

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