45D2150912 CLIA NUMBER - WALMART PHARMACY 10-5809

Laboratory Demographics

  • CLIA Code: 45D2150912
  • Facility Name: WALMART PHARMACY 10-5809
  • Facility Address: 2812 S EXPRESSWAY 281
    EDINBURG, TX
    ZIP 78542
  • Facility Phone: 956 252-2050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALENE A. REQUENEZ
  • NPI Number: 1932525987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2150912
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5809
Street 2812 S EXPRESSWAY 281
City EDINBURG
State TX
ZIP 78542
Phone 956 252-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Pharmacy
Lab Director VALENE A. REQUENEZ

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