45D2139883 CLIA NUMBER - WALMART PHARMACY 10-5116

Laboratory Demographics

  • CLIA Code: 45D2139883
  • Facility Name: WALMART PHARMACY 10-5116
  • Facility Address: 9025 SPENCER HWY
    LA PORTE, TX
    ZIP 77571
  • Facility Phone: 281 479-9364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YVONNE L. MAI
  • NPI Number: 1013934165
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2139883
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5116
Street 9025 SPENCER HWY
City LA PORTE
State TX
ZIP 77571
Phone 281 479-9364
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 YVONNE L. MAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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