45D2117142 CLIA NUMBER - WALMART PHARMACY 10-2975

Laboratory Demographics

  • CLIA Code: 45D2117142
  • Facility Name: WALMART PHARMACY 10-2975
  • Facility Address: 3959 BROADWAY BLVD
    GARLAND, TX
    ZIP 75043
  • Facility Phone: 972 926-6155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KASHIF QAMER
  • NPI Number: 1023035151
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117142
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2975
Street 3959 BROADWAY BLVD
City GARLAND
State TX
ZIP 75043
Phone 972 926-6155
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 KASHIF QAMER

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