45D2100950 CLIA NUMBER - WALMART PHARMACY 10-4465

Laboratory Demographics

  • CLIA Code: 45D2100950
  • Facility Name: WALMART PHARMACY 10-4465
  • Facility Address: 11425 BARKER CYPRESS ROAD
    CYPRESS, TX
    ZIP 77433
  • Facility Phone: (479) 204-2272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH ROS
  • NPI Number: 1851318349
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2100950
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4465
Street 11425 BARKER CYPRESS ROAD
City CYPRESS
State TX
ZIP 77433
Phone 4792042272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director ANH ROS

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This page was last updated on: 5/18/2026