45D2117850 CLIA NUMBER - WALMART/SAMS CLUB PHARMACY 10-2981

Laboratory Demographics

  • CLIA Code: 45D2117850
  • Facility Name: WALMART/SAMS CLUB PHARMACY 10-2981
  • Facility Address: 2130 RUF SNOW DRIVE
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 427-9237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BICHLIEN J. TRAN
  • NPI Number: 1740207877
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117850
LAB Type Pharmacy
Facility Name WALMART/SAMS CLUB PHARMACY 10-2981
Street 2130 RUF SNOW DRIVE
City KELLER
State TX
ZIP 76248
Phone 817 427-9237
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 BICHLIEN J. TRAN

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