45D2116975 CLIA NUMBER - WALMART PHARMACY 10-220

Laboratory Demographics

  • CLIA Code: 45D2116975
  • Facility Name: WALMART PHARMACY 10-220
  • Facility Address: 951 SW WILSHIRE BLVD
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 817 447-2307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NNAMDI P. IKE
  • NPI Number: 1407873656
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2116975
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-220
Street 951 SW WILSHIRE BLVD
City BURLESON
State TX
ZIP 76028
Phone 817 447-2307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Pharmacy
Lab Director NNAMDI P. IKE

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