45D2153962 CLIA NUMBER - WALMART PHARMACY 10-3431

Laboratory Demographics

  • CLIA Code: 45D2153962
  • Facility Name: WALMART PHARMACY 10-3431
  • Facility Address: 2801 E INTERSTATE 20
    HUDSON OAKS, TX
    ZIP 76087
  • Facility Phone: 817 599-3750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NNEKA C. EJERE
  • NPI Number: 1811914971
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2153962
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3431
Street 2801 E INTERSTATE 20
City HUDSON OAKS
State TX
ZIP 76087
Phone 817 599-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director NNEKA C. EJERE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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