45D2133150 CLIA NUMBER - WALMART PHARMACY 10-4512

Laboratory Demographics

  • CLIA Code: 45D2133150
  • Facility Name: WALMART PHARMACY 10-4512
  • Facility Address: 22850 MORTON RANCH RD
    KATY, TX
    ZIP 77449
  • Facility Phone: 479 204-6036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARUGAR HUZEFA
  • NPI Number: 1871768648
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2133150
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4512
Street 22850 MORTON RANCH RD
City KATY
State TX
ZIP 77449
Phone 479 204-6036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Pharmacy
Lab Director DARUGAR HUZEFA

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