45D2139663 CLIA NUMBER - WALMART PHARMACY 10-3827

Laboratory Demographics

  • CLIA Code: 45D2139663
  • Facility Name: WALMART PHARMACY 10-3827
  • Facility Address: 5660 W GRAND PKWY S
    RICHMOND, TX
    ZIP 77406
  • Facility Phone: 832 595-0419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN WU
  • NPI Number: 1447436803
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139663
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3827
Street 5660 W GRAND PKWY S
City RICHMOND
State TX
ZIP 77406
Phone 832 595-0419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director BENJAMIN WU

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