45D2117228 CLIA NUMBER - WALMART PHARMACY 10-3198

Laboratory Demographics

  • CLIA Code: 45D2117228
  • Facility Name: WALMART PHARMACY 10-3198
  • Facility Address: 4025 OLD DENTON ROAD
    CARROLLTON, TX
    ZIP 75007
  • Facility Phone: 469 557-7719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZAIN KHAN
  • NPI Number: 1346598323
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2117228
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3198
Street 4025 OLD DENTON ROAD
City CARROLLTON
State TX
ZIP 75007
Phone 469 557-7719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Pharmacy
Lab Director ZAIN KHAN

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