45D2128008 CLIA NUMBER - WALMART PHARMACY 10-2463

Laboratory Demographics

  • CLIA Code: 45D2128008
  • Facility Name: WALMART PHARMACY 10-2463
  • Facility Address: 350 STONEBROOK PARKWAY
    FRISCO, TX
    ZIP 75036
  • Facility Phone: 972 987-8766
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EZENWA DIKE
  • NPI Number: 1528589454
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2128008
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2463
Street 350 STONEBROOK PARKWAY
City FRISCO
State TX
ZIP 75036
Phone 972 987-8766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director EZENWA DIKE

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