45D2119523 CLIA NUMBER - WALMART PHARMACY 10-1055

Laboratory Demographics

  • CLIA Code: 45D2119523
  • Facility Name: WALMART PHARMACY 10-1055
  • Facility Address: 5302 N GARLAND AVENUE
    GARLAND, TX
    ZIP 75040
  • Facility Phone: 972 495-2515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUONG K. LE
  • NPI Number: 1760409916
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119523
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1055
Street 5302 N GARLAND AVENUE
City GARLAND
State TX
ZIP 75040
Phone 972 495-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Pharmacy
Lab Director CHUONG K. LE

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