45D2119595 CLIA NUMBER - WALMART PHARMACY 10-3341

Laboratory Demographics

  • CLIA Code: 45D2119595
  • Facility Name: WALMART PHARMACY 10-3341
  • Facility Address: 2305 N CENTRAL EXPRESSWAY
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 214 953-0165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRANT E. WOMACK
  • NPI Number: 1831116946
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119595
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3341
Street 2305 N CENTRAL EXPRESSWAY
City DALLAS
State TX
ZIP 75204
Phone 214 953-0165
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 GRANT E. WOMACK

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