45D2098682 CLIA NUMBER - WALMART PHARMACY 10-3204

Laboratory Demographics

  • CLIA Code: 45D2098682
  • Facility Name: WALMART PHARMACY 10-3204
  • Facility Address: 820 E BELT LINE ROAD
    CEDAR HILL, TX
    ZIP 75104
  • Facility Phone: 469 526-1213
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAO T. NGUYEN
  • NPI Number: 1114944261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2098682
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3204
Street 820 E BELT LINE ROAD
City CEDAR HILL
State TX
ZIP 75104
Phone 469 526-1213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director BAO T. NGUYEN

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