32D2120724 CLIA NUMBER - WALMART PHARMACY 10-4601

Laboratory Demographics

  • CLIA Code: 32D2120724
  • Facility Name: WALMART PHARMACY 10-4601
  • Facility Address: 3331 RINCONADA BLVD
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 680-3779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANAME COOK
  • NPI Number: 1144664020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2120724
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4601
Street 3331 RINCONADA BLVD
City LAS CRUCES
State NM
ZIP 88011
Phone 575 680-3779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Pharmacy
Lab Director ANAME COOK

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This page was last updated on: 6/4/2025