45D2117136 CLIA NUMBER - WALMART PHARMACY 10-2883

Laboratory Demographics

  • CLIA Code: 45D2117136
  • Facility Name: WALMART PHARMACY 10-2883
  • Facility Address: 8801 OHIO DRIVE
    PLANO, TX
    ZIP 75024
  • Facility Phone: 972 731-9588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMMY N. NGUYEN
  • NPI Number: 1487671509
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2117136
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2883
Street 8801 OHIO DRIVE
City PLANO
State TX
ZIP 75024
Phone 972 731-9588
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 JIMMY N. NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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