45D2108085 CLIA NUMBER - WALMART PHARMACY 10-7251

Laboratory Demographics

  • CLIA Code: 45D2108085
  • Facility Name: WALMART PHARMACY 10-7251
  • Facility Address: 7800 SUMMER CREEK DRIVE
    FORT WORTH, TX
    ZIP 76123
  • Facility Phone: (682) 312-1993
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA W. KINCHEN
  • NPI Number: 1780601948
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2108085
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7251
Street 7800 SUMMER CREEK DRIVE
City FORT WORTH
State TX
ZIP 76123
Phone 6823121993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Pharmacy
Lab Director ERICA W. KINCHEN

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This page was last updated on: 5/18/2026