45D2108084 CLIA NUMBER - WALMART PHARMACY 10-7178

Laboratory Demographics

  • CLIA Code: 45D2108084
  • Facility Name: WALMART PHARMACY 10-7178
  • Facility Address: 701 W PRINCETON DRIVE
    PRINCETON, TX
    ZIP 75407
  • Facility Phone: 972 736-6866
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BASHAR ALABOOSI
  • NPI Number: 1952765703
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2108084
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7178
Street 701 W PRINCETON DRIVE
City PRINCETON
State TX
ZIP 75407
Phone 972 736-6866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Pharmacy
Lab Director BASHAR ALABOOSI

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