45D2139904 CLIA NUMBER - WALMART PHARMACY 0462

Laboratory Demographics

  • CLIA Code: 45D2139904
  • Facility Name: WALMART PHARMACY 0462
  • Facility Address: 400 HWY 35 BYP S
    ALVIN, TX
    ZIP 77511
  • Facility Phone: 281 585-3451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRIA G. GREEN
  • NPI Number: 1306864178
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139904
LAB Type Pharmacy
Facility Name WALMART PHARMACY 0462
Street 400 HWY 35 BYP S
City ALVIN
State TX
ZIP 77511
Phone 281 585-3451
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 ALEXANDRIA G. GREEN

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