45D2152507 CLIA NUMBER - WALMART PHARMACY 10-3509

Laboratory Demographics

  • CLIA Code: 45D2152507
  • Facility Name: WALMART PHARMACY 10-3509
  • Facility Address: 11755 BEECHNUT ST
    HOUSTON, TX
    ZIP 77072
  • Facility Phone: 832 328-1653
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANA BUI
  • NPI Number: 1487671525
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2152507
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3509
Street 11755 BEECHNUT ST
City HOUSTON
State TX
ZIP 77072
Phone 832 328-1653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director DIANA BUI

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