45D2128181 CLIA NUMBER - WALMART PHARMACY 10-915

Laboratory Demographics

  • CLIA Code: 45D2128181
  • Facility Name: WALMART PHARMACY 10-915
  • Facility Address: 11210 W AIRPORT BLVD
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 281 933-5252
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEDHIN SABA
  • NPI Number: 1720005960
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2128181
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-915
Street 11210 W AIRPORT BLVD
City STAFFORD
State TX
ZIP 77477
Phone 281 933-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MEDHIN SABA

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