45D2123992 CLIA NUMBER - WALMART PHARMACY 10-344

Laboratory Demographics

  • CLIA Code: 45D2123992
  • Facility Name: WALMART PHARMACY 10-344
  • Facility Address: 3413 WEST LOOP
    EL CAMPO, TX
    ZIP 77437
  • Facility Phone: 979 543-6280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL M. KIAMBA
  • NPI Number: 1366469538
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2123992
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-344
Street 3413 WEST LOOP
City EL CAMPO
State TX
ZIP 77437
Phone 979 543-6280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director DANIEL M. KIAMBA

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