45D2128067 CLIA NUMBER - WALMART PHARMACY 10-293

Laboratory Demographics

  • CLIA Code: 45D2128067
  • Facility Name: WALMART PHARMACY 10-293
  • Facility Address: 1712 E WASHINGTON AVE
    NAVASOTA, TX
    ZIP 77868
  • Facility Phone: 936 825-2185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID L. GRIFFITH
  • NPI Number: 1093732273
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2128067
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-293
Street 1712 E WASHINGTON AVE
City NAVASOTA
State TX
ZIP 77868
Phone 936 825-2185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DAVID L. GRIFFITH

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