45D2131459 CLIA NUMBER - WALMART PHARMACY 100437

Laboratory Demographics

  • CLIA Code: 45D2131459
  • Facility Name: WALMART PHARMACY 100437
  • Facility Address: 310 OVERCREEK WAY
    SEALY, TX
    ZIP 77474
  • Facility Phone: 979 627-0102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SASHA AGBALE
  • NPI Number: 1548287717
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2131459
LAB Type Pharmacy
Facility Name WALMART PHARMACY 100437
Street 310 OVERCREEK WAY
City SEALY
State TX
ZIP 77474
Phone 979 627-0102
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 SASHA AGBALE

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