45D2138313 CLIA NUMBER - WALMART PHARMACY 10-0321

Laboratory Demographics

  • CLIA Code: 45D2138313
  • Facility Name: WALMART PHARMACY 10-0321
  • Facility Address: 203 US LOOP 290 WEST
    BRENHAM, TX
    ZIP 77833
  • Facility Phone: 979 830-1023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCIS I. OKEGBU
  • NPI Number: 1316965155
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2138313
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0321
Street 203 US LOOP 290 WEST
City BRENHAM
State TX
ZIP 77833
Phone 979 830-1023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director FRANCIS I. OKEGBU

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