45D2138070 CLIA NUMBER - WALMART PHARMACY 10-4279

Laboratory Demographics

  • CLIA Code: 45D2138070
  • Facility Name: WALMART PHARMACY 10-4279
  • Facility Address: 400 N HIGHWAY 67
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 972 775-4708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA B. KEMP
  • NPI Number: 1750446860
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138070
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4279
Street 400 N HIGHWAY 67
City MIDLOTHIAN
State TX
ZIP 76065
Phone 972 775-4708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director SARA B. KEMP

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