45D2140935 CLIA NUMBER - WALMART PHARMACY 10-0194

Laboratory Demographics

  • CLIA Code: 45D2140935
  • Facility Name: WALMART PHARMACY 10-0194
  • Facility Address: 4900 GARTH RD
    BAYTOWN, TX
    ZIP 77521
  • Facility Phone: 281 421-3024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISSA C. NGUYEN
  • NPI Number: 1558388785
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2140935
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0194
Street 4900 GARTH RD
City BAYTOWN
State TX
ZIP 77521
Phone 281 421-3024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director ALISSA C. NGUYEN

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