45D2119532 CLIA NUMBER - WALMART PHARMACY 10-2974

Laboratory Demographics

  • CLIA Code: 45D2119532
  • Facility Name: WALMART PHARMACY 10-2974
  • Facility Address: 1501 E BUCKINGHAM ROAD
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 972 235-9391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJESWARA CHARY PINNOJI
  • NPI Number: 1760409809
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119532
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2974
Street 1501 E BUCKINGHAM ROAD
City RICHARDSON
State TX
ZIP 75081
Phone 972 235-9391
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 RAJESWARA CHARY PINNOJI

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