45D2122874 CLIA NUMBER - WALMART PHARMACY 10-249

Laboratory Demographics

  • CLIA Code: 45D2122874
  • Facility Name: WALMART PHARMACY 10-249
  • Facility Address: 831 HIGHWAY 59 S
    CLEVELAND, TX
    ZIP 77327
  • Facility Phone: 281 592-2636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUY L. NGUYEN
  • NPI Number: 1275550444
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2122874
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-249
Street 831 HIGHWAY 59 S
City CLEVELAND
State TX
ZIP 77327
Phone 281 592-2636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Pharmacy
Lab Director HUY L. NGUYEN

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