45D2152518 CLIA NUMBER - WALMART PHARMACY 10-1103

Laboratory Demographics

  • CLIA Code: 45D2152518
  • Facility Name: WALMART PHARMACY 10-1103
  • Facility Address: 3450 FM 1960 RD W
    HOUSTON, TX
    ZIP 77068
  • Facility Phone: 281 440-0741
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESKEDAR DICKIE
  • NPI Number: 1619072352
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2152518
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1103
Street 3450 FM 1960 RD W
City HOUSTON
State TX
ZIP 77068
Phone 281 440-0741
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 ESKEDAR DICKIE

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