45D2138068 CLIA NUMBER - WALMART PHARMACY 10-1150

Laboratory Demographics

  • CLIA Code: 45D2138068
  • Facility Name: WALMART PHARMACY 10-1150
  • Facility Address: 1815 BROTHERS BLVD
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 693-3841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TASNEEM BEDAIR
  • NPI Number: 1518984772
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138068
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1150
Street 1815 BROTHERS BLVD
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 693-3841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director TASNEEM BEDAIR

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