45D2138036 CLIA NUMBER - WALMART PHARMACY 10-0449

Laboratory Demographics

  • CLIA Code: 45D2138036
  • Facility Name: WALMART PHARMACY 10-0449
  • Facility Address: 4999 N TWIN CITY HWY
    PORT ARTHUR, TX
    ZIP 77642
  • Facility Phone: (409) 963-2182
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL S. KAJOPELAYE

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CLIA Record

Field Name Field Value
CLIA Number 45D2138036
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0449
Street 4999 N TWIN CITY HWY
City PORT ARTHUR
State TX
ZIP 77642
Phone 4099632182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Pharmacy
Lab Director PAUL S. KAJOPELAYE

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This page was last updated on: 5/18/2026