45D2139881 CLIA NUMBER - WALMART PHARMACY 10-3542

Laboratory Demographics

  • CLIA Code: 45D2139881
  • Facility Name: WALMART PHARMACY 10-3542
  • Facility Address: 11242 S GESSNER DR
    HOUSTON, TX
    ZIP 77071
  • Facility Phone: 713 771-8316
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELAINE CHAI
  • NPI Number: 1932127628
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139881
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3542
Street 11242 S GESSNER DR
City HOUSTON
State TX
ZIP 77071
Phone 713 771-8316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director ELAINE CHAI

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