CLIA lab

CLIA 45D2123624: Walmart Pharmacy 10-290

Gonzales, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2123624 belongs to Walmart Pharmacy 10-290 in Gonzales, TX.

Certificate of Waiver, effective December 27, 2024, expires December 26, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 27, 2024
Certificate expiration
December 26, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 27, 2016
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2123624
Lab name
Walmart Pharmacy 10-290
Address
1114 E Sarah Dewitt Drive, Gonzales, TX 78629
Phone
(830) 672-2811
Fax
(830) 672-5444

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Gonzales, TX

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-290 in Gonzales?

45D2123624, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-290 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2123624 expire?

The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.

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