45D2119696 CLIA NUMBER - WALMART PHARMACY 10-3014

Laboratory Demographics

  • CLIA Code: 45D2119696
  • Facility Name: WALMART PHARMACY 10-3014
  • Facility Address: 200 SHORT ST
    DALLAS, TX
    ZIP 75232
  • Facility Phone: 972 232-6407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCIS NGUYEN
  • NPI Number: 1144660747
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2119696
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3014
Street 200 SHORT ST
City DALLAS
State TX
ZIP 75232
Phone 972 232-6407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Pharmacy
Lab Director FRANCIS NGUYEN

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