45D2139906 CLIA NUMBER - WALMART PHARMACY 10-0527

Laboratory Demographics

  • CLIA Code: 45D2139906
  • Facility Name: WALMART PHARMACY 10-0527
  • Facility Address: 1801 N VELASCO ST
    ANGLETON, TX
    ZIP 77515
  • Facility Phone: 979 849-3028
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NNAMDI M. IGWEBUIKE
  • NPI Number: 1558388728
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2139906
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0527
Street 1801 N VELASCO ST
City ANGLETON
State TX
ZIP 77515
Phone 979 849-3028
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 NNAMDI M. IGWEBUIKE

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