45D2098046 CLIA NUMBER - WALMART PHARMACY 10-4104

Laboratory Demographics

  • CLIA Code: 45D2098046
  • Facility Name: WALMART PHARMACY 10-4104
  • Facility Address: 3930 TEASLEY LANE
    DENTON, TX
    ZIP 76210
  • Facility Phone: 940 783-4151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAJIRA IQBAL
  • NPI Number: 1982008629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2098046
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4104
Street 3930 TEASLEY LANE
City DENTON
State TX
ZIP 76210
Phone 940 783-4151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Pharmacy
Lab Director HAJIRA IQBAL

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