45D2119210 CLIA NUMBER - WALMART PHARMACY 10-1801

Laboratory Demographics

  • CLIA Code: 45D2119210
  • Facility Name: WALMART PHARMACY 10-1801
  • Facility Address: 4801 S COOPER STREET
    ARLINGTON, TX
    ZIP 76017
  • Facility Phone: 972 223-1930
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA NGUYEN
  • NPI Number: 1801061668
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2119210
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1801
Street 4801 S COOPER STREET
City ARLINGTON
State TX
ZIP 76017
Phone 972 223-1930
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 TERESA NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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