45D2139901 CLIA NUMBER - WALMART PHARMACY 10-0703

Laboratory Demographics

  • CLIA Code: 45D2139901
  • Facility Name: WALMART PHARMACY 10-0703
  • Facility Address: 27650 STATE HIGHWAY 249
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 281 351-2144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIVYA PATEL LEVA
  • NPI Number: 1992256325
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2139901
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0703
Street 27650 STATE HIGHWAY 249
City TOMBALL
State TX
ZIP 77375
Phone 281 351-2144
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 DIVYA PATEL LEVA

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