45D2139688 CLIA NUMBER - WALMART PHARMACY 10-3298

Laboratory Demographics

  • CLIA Code: 45D2139688
  • Facility Name: WALMART PHARMACY 10-3298
  • Facility Address: 255 FM 518 RD
    KEMAH, TX
    ZIP 77565
  • Facility Phone: 281 538-9978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALI A. HASHEM
  • NPI Number: 1831116979
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139688
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3298
Street 255 FM 518 RD
City KEMAH
State TX
ZIP 77565
Phone 281 538-9978
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 DALI A. HASHEM

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