45D2119528 CLIA NUMBER - WALMART PHARMACY 10-2427

Laboratory Demographics

  • CLIA Code: 45D2119528
  • Facility Name: WALMART PHARMACY 10-2427
  • Facility Address: 9301 FOREST LANE
    DALLAS, TX
    ZIP 75243
  • Facility Phone: 972 437-6858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANKIT A. SHAH
  • NPI Number: 1003997537
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2119528
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2427
Street 9301 FOREST LANE
City DALLAS
State TX
ZIP 75243
Phone 972 437-6858
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 ANKIT A. SHAH

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