45D2137382 CLIA NUMBER - WALMART PHARMACY 10-3425

Laboratory Demographics

CLIA Number: 45D2137382

Facility Name: WALMART PHARMACY 10-3425

Facility Address:
9598 ROWLETT RD
HOUSTON, TX
ZIP 77075
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Facility Phone Number: 832 386-0160

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124119300

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name Field Value
CLIA Number 45D2137382
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3425
Street 9598 ROWLETT RD
City HOUSTON
State TX
ZIP 77075
Phone 832 386-0160
CertificateType 4
CertificateEffectiveDate 9/26/2023
CertificateExpirationDate 9/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024