45D2150851 CLIA NUMBER - WALMART PHARMACY 10-5808

Laboratory Demographics

  • CLIA Code: 45D2150851
  • Facility Name: WALMART PHARMACY 10-5808
  • Facility Address: 411 SOUTH BROADWAY STREET
    ELSA, TX
    ZIP 78543
  • Facility Phone: 956 262-9450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAUER D. BRUCE
  • NPI Number: 1306250196
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2150851
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5808
Street 411 SOUTH BROADWAY STREET
City ELSA
State TX
ZIP 78543
Phone 956 262-9450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Pharmacy
Lab Director BAUER D. BRUCE

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