45D2117423 CLIA NUMBER - WALMART PHARMACY 10-5210

Laboratory Demographics

  • CLIA Code: 45D2117423
  • Facility Name: WALMART PHARMACY 10-5210
  • Facility Address: 2050 N HIGHWAY 78
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 972 429-5106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUBINA IQBAL
  • NPI Number: 1487013033
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2117423
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5210
Street 2050 N HIGHWAY 78
City WYLIE
State TX
ZIP 75098
Phone 972 429-5106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Pharmacy
Lab Director MUBINA IQBAL

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