45D2101437 CLIA NUMBER - WALMART PHARMACY 10-0807

Laboratory Demographics

  • CLIA Code: 45D2101437
  • Facility Name: WALMART PHARMACY 10-0807
  • Facility Address: 6401 NE LOOP 820
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 817 498-4411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERENY I. HENEIN
  • NPI Number: 1255412268
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2101437
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0807
Street 6401 NE LOOP 820
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 817 498-4411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director ERENY I. HENEIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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