45D2117847 CLIA NUMBER - WALMART PHARMACY 10-217

Laboratory Demographics

  • CLIA Code: 45D2117847
  • Facility Name: WALMART PHARMACY 10-217
  • Facility Address: 801 W MAIN STREET
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 972 221-1150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD A. SHIMEK
  • NPI Number: 1649297888
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117847
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-217
Street 801 W MAIN STREET
City LEWISVILLE
State TX
ZIP 75067
Phone 972 221-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director CHAD A. SHIMEK

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