32D2121693 CLIA NUMBER - WALMART PHARMACY 10-549

Laboratory Demographics

  • CLIA Code: 32D2121693
  • Facility Name: WALMART PHARMACY 10-549
  • Facility Address: 3800 N LOVINGTON HWY
    HOBBS, NM
    ZIP 88240
  • Facility Phone: 760 371-4979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLI AVANT
  • NPI Number: 1952328361
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2121693
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-549
Street 3800 N LOVINGTON HWY
City HOBBS
State NM
ZIP 88240
Phone 760 371-4979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Pharmacy
Lab Director KELLI AVANT

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