45D2152476 CLIA NUMBER - WALMART PHARMACY 10-0280

Laboratory Demographics

  • CLIA Code: 45D2152476
  • Facility Name: WALMART PHARMACY 10-0280
  • Facility Address: 709 W US HIGHWAY 79
    ROCKDALE, TX
    ZIP 76567
  • Facility Phone: 512 446-3401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEEMA A. RAJBHANDARI
  • NPI Number: 1992723746
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2152476
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0280
Street 709 W US HIGHWAY 79
City ROCKDALE
State TX
ZIP 76567
Phone 512 446-3401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Pharmacy
Lab Director NEEMA A. RAJBHANDARI

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