45D2138040 CLIA NUMBER - WALMART PHARMACY 10-0651

Laboratory Demographics

  • CLIA Code: 45D2138040
  • Facility Name: WALMART PHARMACY 10-0651
  • Facility Address: 4145 DOWLEN RD
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 409 899-3615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY VO
  • NPI Number: 1740207976
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2138040
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0651
Street 4145 DOWLEN RD
City BEAUMONT
State TX
ZIP 77706
Phone 409 899-3615
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 ANTHONY VO

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