Healther Providers Data Logo

45D2125341 CLIA NUMBER - WALMART PHARMACY 10-4164

Laboratory Demographics

CLIA Number: 45D2125341

Facility Name: WALMART PHARMACY 10-4164

Facility Address:
300 KINGS FORT PARKWAY
KAUFMAN, TX
ZIP 75142
Get Directions

Facility Phone Number: 469 595-7076

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1851715569

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2125341
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4164
Street 300 KINGS FORT PARKWAY
City KAUFMAN
State TX
ZIP 75142
Phone 469 595-7076
CertificateType 4
CertificateEffectiveDate 2/6/2023
CertificateExpirationDate 2/5/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024