45D2097584 CLIA NUMBER - WALMART 10-3584

Laboratory Demographics

  • CLIA Code: 45D2097584
  • Facility Name: WALMART 10-3584
  • Facility Address: 5405 SOUTH RICE AVENUE
    HOUSTON, TX
    ZIP 77081
  • Facility Phone: 713 860-9245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOZIE P. AKAEGBOBI
  • NPI Number: 1518351006
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2097584
LAB Type Pharmacy
Facility Name WALMART 10-3584
Street 5405 SOUTH RICE AVENUE
City HOUSTON
State TX
ZIP 77081
Phone 713 860-9245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director DOZIE P. AKAEGBOBI

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