45D2122869 CLIA NUMBER - WALMART PHARMACY 10-148

Laboratory Demographics

  • CLIA Code: 45D2122869
  • Facility Name: WALMART PHARMACY 10-148
  • Facility Address: 3855 LAMAR AVE
    PARIS, TX
    ZIP 75462
  • Facility Phone: 903 785-8734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHNNY D. DAVIS
  • NPI Number: 1548287725
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2122869
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-148
Street 3855 LAMAR AVE
City PARIS
State TX
ZIP 75462
Phone 903 785-8734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Pharmacy
Lab Director JOHNNY D. DAVIS

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