45D2129155 CLIA NUMBER - WALMART PHARMACY 10-4215

Laboratory Demographics

  • CLIA Code: 45D2129155
  • Facility Name: WALMART PHARMACY 10-4215
  • Facility Address: 8801 STATE HIGHWAY 34 S
    QUINLAN, TX
    ZIP 75474
  • Facility Phone: 903 356-1013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIYOUNG CHEONG
  • NPI Number: 1669537775
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2129155
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4215
Street 8801 STATE HIGHWAY 34 S
City QUINLAN
State TX
ZIP 75474
Phone 903 356-1013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director MIYOUNG CHEONG

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