32D2119875 CLIA NUMBER - WALMART PHARMACY 10-5782

Laboratory Demographics

  • CLIA Code: 32D2119875
  • Facility Name: WALMART PHARMACY 10-5782
  • Facility Address: 150 N SONOMA RANCH BLVD
    LAS CRUCES, NM
    ZIP 88001
  • Facility Phone: 575 323-6097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID ESPARZA
  • NPI Number: 1144678343
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2119875
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5782
Street 150 N SONOMA RANCH BLVD
City LAS CRUCES
State NM
ZIP 88001
Phone 575 323-6097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Pharmacy
Lab Director DAVID ESPARZA

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