45D2119209 CLIA NUMBER - WALMART PHARMACY 10-4627

Laboratory Demographics

  • CLIA Code: 45D2119209
  • Facility Name: WALMART PHARMACY 10-4627
  • Facility Address: 2750 W UNIVERSITY DRIVE
    DENTON, TX
    ZIP 76201
  • Facility Phone: (940) 735-3126
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY H. VO
  • NPI Number: 1760799712
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119209
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4627
Street 2750 W UNIVERSITY DRIVE
City DENTON
State TX
ZIP 76201
Phone 9407353126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Pharmacy
Lab Director TONY H. VO

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This page was last updated on: 5/18/2026