45D2125861 CLIA NUMBER - WALMART PHARMACY 10-1040

Laboratory Demographics

  • CLIA Code: 45D2125861
  • Facility Name: WALMART PHARMACY 10-1040
  • Facility Address: 15955 FM 529 RD
    HOUSTON, TX
    ZIP 77095
  • Facility Phone: 281 855-1305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANABEL RODRIGUEZ RANGEL
  • NPI Number: 1427151950
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2125861
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1040
Street 15955 FM 529 RD
City HOUSTON
State TX
ZIP 77095
Phone 281 855-1305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Pharmacy
Lab Director ANABEL RODRIGUEZ RANGEL

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