45D2139692 CLIA NUMBER - WALMART PHARMACY 10-1405

Laboratory Demographics

  • CLIA Code: 45D2139692
  • Facility Name: WALMART PHARMACY 10-1405
  • Facility Address: 4600 7TH STREET
    BAY CITY, TX
    ZIP 77414
  • Facility Phone: 979 245-0095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DHWANI V. PATEL
  • NPI Number: 1275550436
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139692
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1405
Street 4600 7TH STREET
City BAY CITY
State TX
ZIP 77414
Phone 979 245-0095
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 DHWANI V. PATEL

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