45D2117241 CLIA NUMBER - WALMART PHARMACY 10-3574

Laboratory Demographics

  • CLIA Code: 45D2117241
  • Facility Name: WALMART PHARMACY 10-3574
  • Facility Address: 1520 E EXCHANGE PKWY
    ALLEN, TX
    ZIP 75002
  • Facility Phone: 214 547-8671
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELLY HARTLEY
  • NPI Number: 1669499711
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117241
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3574
Street 1520 E EXCHANGE PKWY
City ALLEN
State TX
ZIP 75002
Phone 214 547-8671
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 SHELLY HARTLEY

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