45D2131455 CLIA NUMBER - WALMART PHARMACY 10-0529

Laboratory Demographics

  • CLIA Code: 45D2131455
  • Facility Name: WALMART PHARMACY 10-0529
  • Facility Address: 6410 I-45
    LA MARQUE, TX
    ZIP 77568
  • Facility Phone: 409 986-7726
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJNI P. SYAL
  • NPI Number: 1639197478
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2131455
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0529
Street 6410 I-45
City LA MARQUE
State TX
ZIP 77568
Phone 409 986-7726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Pharmacy
Lab Director RAJNI P. SYAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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