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45D2108085 CLIA NUMBER - WALMART PHARMACY 10-7251

Laboratory Demographics

CLIA Number: 45D2108085

Facility Name: WALMART PHARMACY 10-7251

Facility Address:
7800 SUMMER CREEK DRIVE
FORT WORTH, TX
ZIP 76123
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Facility Phone Number: 682 312-1993

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1225498538

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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 682 312-1993
CertificateType 4
CertificateEffectiveDate 1/28/2024
CertificateExpirationDate 1/27/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024