45D2297055 CLIA NUMBER - WALMART HEALTH #807

Laboratory Demographics

CLIA Number: 45D2297055

Facility Name: WALMART HEALTH #807

Facility Address:
6401 NE LOOP 820 STE 200
NORTH RICHLAND HILLS, TX
ZIP 76180
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Facility Phone Number: 479 371-2556

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1861895674

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2297055
LAB Type	Community Clinic
Facility Name	WALMART HEALTH #807
Street	6401 NE LOOP 820 STE 200
City	NORTH RICHLAND HILLS
State	TX
ZIP	76180
Phone	479 371-2556
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024