45D2120846 CLIA NUMBER - WALMART PHARMACY 10-1117

Laboratory Demographics

  • CLIA Code: 45D2120846
  • Facility Name: WALMART PHARMACY 10-1117
  • Facility Address: 6001 N CENTRAL EXPRESSWAY
    PLANO, TX
    ZIP 75023
  • Facility Phone: 972 421-2965
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIPPOCRATES SORIANO
  • NPI Number: 1073530234
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2120846
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1117
Street 6001 N CENTRAL EXPRESSWAY
City PLANO
State TX
ZIP 75023
Phone 972 421-2965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Pharmacy
Lab Director HIPPOCRATES SORIANO

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