CLIA lab
CLIA 45D2125341: Walmart Pharmacy 10-4164
Kaufman, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2125341 belongs to Walmart Pharmacy 10-4164 in Kaufman, TX.
Certificate of Waiver, effective February 6, 2025, expires February 5, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 6, 2025
- Certificate expiration
- February 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 6, 2017
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2125341
- Lab name
- Walmart Pharmacy 10-4164
- Address
- 300 Kings Fort Parkway, Kaufman, TX 75142
- Phone
- (469) 595-7076
- Fax
- (469) 595-7069
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- PHP Ins TX PLLCCertificate of Waiver, Physician office45D2317396
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Related
Questions
What is the CLIA number for Walmart Pharmacy 10-4164 in Kaufman?
45D2125341, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4164 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2125341 expire?
The CMS file lists February 5, 2027 as the certificate expiration date; the certificate took effect February 6, 2025.