45D2117229 CLIA NUMBER - WALMART PHARMACY 10-3199

Laboratory Demographics

  • CLIA Code: 45D2117229
  • Facility Name: WALMART PHARMACY 10-3199
  • Facility Address: 3513 E PARK BLVD
    PLANO, TX
    ZIP 75074
  • Facility Phone: 469 304-3148
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA P. HUYNH
  • NPI Number: 1073861134
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117229
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3199
Street 3513 E PARK BLVD
City PLANO
State TX
ZIP 75074
Phone 469 304-3148
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 AMANDA P. HUYNH

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