45D2119530 CLIA NUMBER - WALMART PHARMACY 10-2918

Laboratory Demographics

  • CLIA Code: 45D2119530
  • Facility Name: WALMART PHARMACY 10-2918
  • Facility Address: 730 W EXCHANGE PKWY
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 649-0364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARI L. HALL
  • NPI Number: 1285934901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119530
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2918
Street 730 W EXCHANGE PKWY
City ALLEN
State TX
ZIP 75013
Phone 972 649-0364
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 KARI L. HALL

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