45D2152517 CLIA NUMBER - WALMART PHARMACY 10-752

Laboratory Demographics

  • CLIA Code: 45D2152517
  • Facility Name: WALMART PHARMACY 10-752
  • Facility Address: 5200 FAIRMONT PKWY
    PASADENA, TX
    ZIP 77505
  • Facility Phone: 281 487-8091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YAMIN ESCALANTE
  • NPI Number: 1013934249
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2152517
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-752
Street 5200 FAIRMONT PKWY
City PASADENA
State TX
ZIP 77505
Phone 281 487-8091
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 YAMIN ESCALANTE

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