06D2156456 CLIA NUMBER - WALMART PHARMACY #10-869

Laboratory Demographics

  • CLIA Code: 06D2156456
  • Facility Name: WALMART PHARMACY #10-869
  • Facility Address: 3333 CLARK ST
    ALAMOSA, CO
    ZIP 81101
  • Facility Phone: 719 589-9021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IAN MCMULLEN
  • NPI Number: 1538531546
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156456
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-869
Street 3333 CLARK ST
City ALAMOSA
State CO
ZIP 81101
Phone 719 589-9021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Pharmacy
Lab Director IAN MCMULLEN

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