45D2139691 CLIA NUMBER - WALMART PHARMACY 10-1062

Laboratory Demographics

  • CLIA Code: 45D2139691
  • Facility Name: WALMART PHARMACY 10-1062
  • Facility Address: 150 W EL DORADO BLVD
    FRIENDSWOOD, TX
    ZIP 77546
  • Facility Phone: 281 480-6164
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT SMITH
  • NPI Number: 1679590822
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139691
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1062
Street 150 W EL DORADO BLVD
City FRIENDSWOOD
State TX
ZIP 77546
Phone 281 480-6164
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 SCOTT SMITH

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