45D2117864 CLIA NUMBER - WALMART PHARMACY 10-5764

Laboratory Demographics

  • CLIA Code: 45D2117864
  • Facility Name: WALMART PHARMACY 10-5764
  • Facility Address: 2401 AVONDALE HASLET ROAD
    HASLET, TX
    ZIP 76052
  • Facility Phone: 817 302-1731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC AWUAH
  • NPI Number: 1972943355
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2117864
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5764
Street 2401 AVONDALE HASLET ROAD
City HASLET
State TX
ZIP 76052
Phone 817 302-1731
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 ERIC AWUAH

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