45D2117701 CLIA NUMBER - WALMART PHARAMCY 10-5823

Laboratory Demographics

  • CLIA Code: 45D2117701
  • Facility Name: WALMART PHARAMCY 10-5823
  • Facility Address: 6185 RETAIL ROAD
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 972 656-2215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIND AHMED
  • NPI Number: 1043505035
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2117701
LAB Type Pharmacy
Facility Name WALMART PHARAMCY 10-5823
Street 6185 RETAIL ROAD
City DALLAS
State TX
ZIP 75231
Phone 972 656-2215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Pharmacy
Lab Director HIND AHMED

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