45D2124651 CLIA NUMBER - WALMART PHARMACY 10-5824

Laboratory Demographics

  • CLIA Code: 45D2124651
  • Facility Name: WALMART PHARMACY 10-5824
  • Facility Address: 1951 MILITARY PARKWAY
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 469 357-5453
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEMELIUS S. HARPER
  • NPI Number: 1659398899
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2124651
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5824
Street 1951 MILITARY PARKWAY
City MESQUITE
State TX
ZIP 75149
Phone 469 357-5453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Pharmacy
Lab Director DEMELIUS S. HARPER

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