CLIA lab

CLIA 45D2099219: Walmart Pharmacy 104468

Katy, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2099219 belongs to Walmart Pharmacy 104468 in Katy, TX.

Certificate of Waiver, effective July 22, 2025, expires July 21, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 22, 2025
Certificate expiration
July 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 22, 2015
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2099219
Lab name
Walmart Pharmacy 104468
Address
20903 Higland Knolls Dr, Katy, TX 77450
Phone
(479) 204-2272

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walmart Pharmacy 104468 in Katy?

45D2099219, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 104468 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2099219 expire?

The CMS file lists July 21, 2027 as the certificate expiration date; the certificate took effect July 22, 2025.

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