45D2103206 CLIA NUMBER - WALMART PHARMACY 10-8930

Laboratory Demographics

  • CLIA Code: 45D2103206
  • Facility Name: WALMART PHARMACY 10-8930
  • Facility Address: 15757 COIT ROAD
    DALLAS, TX
    ZIP 75248
  • Facility Phone: 972 235-0619
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL D. DILLINGHAM
  • NPI Number: 1366821217
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2103206
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-8930
Street 15757 COIT ROAD
City DALLAS
State TX
ZIP 75248
Phone 972 235-0619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director CARL D. DILLINGHAM

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