45D2125487 CLIA NUMBER - WALMART PHARMACY 10-3044

Laboratory Demographics

  • CLIA Code: 45D2125487
  • Facility Name: WALMART PHARMACY 10-3044
  • Facility Address: 2900 RENAISSANCE SQUARE
    FORT WORTH, TX
    ZIP 76105
  • Facility Phone: 817 900-1912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE N. HAMPTON
  • NPI Number: 1598009375
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2125487
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3044
Street 2900 RENAISSANCE SQUARE
City FORT WORTH
State TX
ZIP 76105
Phone 817 900-1912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director DANIELLE N. HAMPTON

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