45D2117151 CLIA NUMBER - WALMART PHARMACY 10-2995

Laboratory Demographics

  • CLIA Code: 45D2117151
  • Facility Name: WALMART PHARMACY 10-2995
  • Facility Address: 8040 INDEPENDENCE PKWY
    PLANO, TX
    ZIP 75025
  • Facility Phone: 972 396-6408
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID SIM
  • NPI Number: 1649304478
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117151
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2995
Street 8040 INDEPENDENCE PKWY
City PLANO
State TX
ZIP 75025
Phone 972 396-6408
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 DAVID SIM

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