45D2152008 CLIA NUMBER - WALMART PHARMACY 10-442

Laboratory Demographics

  • CLIA Code: 45D2152008
  • Facility Name: WALMART PHARMACY 10-442
  • Facility Address: 1133 E GENERAL CAVAZOS
    KINGSVILLE, TX
    ZIP 78363
  • Facility Phone: 361 595-5429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JO ANN M. MOLANO
  • NPI Number: 1326139502
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2152008
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-442
Street 1133 E GENERAL CAVAZOS
City KINGSVILLE
State TX
ZIP 78363
Phone 361 595-5429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Pharmacy
Lab Director JO ANN M. MOLANO

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