32D2120944 CLIA NUMBER - WALMART PHARMACY 10-3517

Laboratory Demographics

  • CLIA Code: 32D2120944
  • Facility Name: WALMART PHARMACY 10-3517
  • Facility Address: 1115 NM HIGHWAY 528 SE
    RIO RANCHO, NM
    ZIP 87124
  • Facility Phone: 505 600-4053
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE ORTIZ
  • NPI Number: 1346659059
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2120944
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3517
Street 1115 NM HIGHWAY 528 SE
City RIO RANCHO
State NM
ZIP 87124
Phone 505 600-4053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Pharmacy
Lab Director KYLE ORTIZ

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