45D2139676 CLIA NUMBER - WALMART PHARMACY 10-3213

Laboratory Demographics

  • CLIA Code: 45D2139676
  • Facility Name: WALMART PHARMACY 10-3213
  • Facility Address: 3040 COLLEGE PARK DR
    THE WOODLANDS, TX
    ZIP 77384
  • Facility Phone: 936 271-0755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRYSTAL D. PATEL
  • NPI Number: 1841217973
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139676
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3213
Street 3040 COLLEGE PARK DR
City THE WOODLANDS
State TX
ZIP 77384
Phone 936 271-0755
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 KRYSTAL D. PATEL

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