45D2139902 CLIA NUMBER - WALMART PHARMACY 10-3296

Laboratory Demographics

  • CLIA Code: 45D2139902
  • Facility Name: WALMART PHARMACY 10-3296
  • Facility Address: 2700 S KIRKWOOD DRIVE
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 281 558-5703
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIA S. GHATTAS
  • NPI Number: 1750473211
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2139902
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3296
Street 2700 S KIRKWOOD DRIVE
City HOUSTON
State TX
ZIP 77077
Phone 281 558-5703
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 ELIA S. GHATTAS

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