45D2137464 CLIA NUMBER - WALMART PHARMACY 10-5612

Laboratory Demographics

  • CLIA Code: 45D2137464
  • Facility Name: WALMART PHARMACY 10-5612
  • Facility Address: 2391 S WAYSIDE DR
    HOUSTON, TX
    ZIP 77023
  • Facility Phone: 713 300-3662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANUEL L. VERA
  • NPI Number: 1376973115
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2137464
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5612
Street 2391 S WAYSIDE DR
City HOUSTON
State TX
ZIP 77023
Phone 713 300-3662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director MANUEL L. VERA

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