45D2107036 CLIA NUMBER - WALMART PHARMACY 10-2996

Laboratory Demographics

  • CLIA Code: 45D2107036
  • Facility Name: WALMART PHARMACY 10-2996
  • Facility Address: 18121 MARSH LANE
    DALLAS, TX
    ZIP 75287
  • Facility Phone: 972 862-6360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REYAD S. ALI
  • NPI Number: 1013934140
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2107036
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2996
Street 18121 MARSH LANE
City DALLAS
State TX
ZIP 75287
Phone 972 862-6360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Pharmacy
Lab Director REYAD S. ALI

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