45D2117135 CLIA NUMBER - WALMART PHARMACY 10-2667

Laboratory Demographics

  • CLIA Code: 45D2117135
  • Facility Name: WALMART PHARMACY 10-2667
  • Facility Address: 7401 SAMUELL BLVD
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 214 319-0857
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOJ MOHANLAL
  • NPI Number: 1841217957
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117135
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2667
Street 7401 SAMUELL BLVD
City DALLAS
State TX
ZIP 75228
Phone 214 319-0857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Pharmacy
Lab Director MANOJ MOHANLAL

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