45D2119594 CLIA NUMBER - WALMART PHARMACY 10-3286

Laboratory Demographics

  • CLIA Code: 45D2119594
  • Facility Name: WALMART PHARMACY 10-3286
  • Facility Address: 1035 HICKORY CREEK BLVD
    HICKORY CREEK, TX
    ZIP 75065
  • Facility Phone: 940 321-5686
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIGESHA PATEL
  • NPI Number: 1114944253
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119594
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3286
Street 1035 HICKORY CREEK BLVD
City HICKORY CREEK
State TX
ZIP 75065
Phone 940 321-5686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Pharmacy
Lab Director JIGESHA PATEL

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