45D2138317 CLIA NUMBER - WALMART PHARMACY 10-3433

Laboratory Demographics

  • CLIA Code: 45D2138317
  • Facility Name: WALMART PHARMACY 10-3433
  • Facility Address: 100 S RYAN DRIVE
    RED OAK, TX
    ZIP 75154
  • Facility Phone: 972 515-2066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY ANNE GALINDO
  • NPI Number: 1669747523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138317
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3433
Street 100 S RYAN DRIVE
City RED OAK
State TX
ZIP 75154
Phone 972 515-2066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director JENNY ANNE GALINDO

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