45D2117038 CLIA NUMBER - WALMART PHARMACY 10-0467

Laboratory Demographics

  • CLIA Code: 45D2117038
  • Facility Name: WALMART PHARMACY 10-0467
  • Facility Address: 1515 S LOOP 288
    DENTON, TX
    ZIP 76205
  • Facility Phone: 940 891-2900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLE THOMAS
  • NPI Number: 1487671616
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117038
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0467
Street 1515 S LOOP 288
City DENTON
State TX
ZIP 76205
Phone 940 891-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Pharmacy
Lab Director COLE THOMAS

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