45D2117703 CLIA NUMBER - WALMART PHARMACY 10-6578

Laboratory Demographics

  • CLIA Code: 45D2117703
  • Facility Name: WALMART PHARMACY 10-6578
  • Facility Address: 6604 BLVD 26
    RICHLAND HILLS, TX
    ZIP 76118
  • Facility Phone: 682 757-9067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHANIEL ORTEGA
  • NPI Number: 1861895674
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117703
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6578
Street 6604 BLVD 26
City RICHLAND HILLS
State TX
ZIP 76118
Phone 682 757-9067
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 NATHANIEL ORTEGA

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