32D2133105 CLIA NUMBER - WALMART PHARMACY 10-5166

Laboratory Demographics

  • CLIA Code: 32D2133105
  • Facility Name: WALMART PHARMACY 10-5166
  • Facility Address: 1021 E PINE ST
    DEMING, NM
    ZIP 88030
  • Facility Phone: 575 546-6746
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLOS TREVIRO
  • NPI Number: 1356368419
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133105
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5166
Street 1021 E PINE ST
City DEMING
State NM
ZIP 88030
Phone 575 546-6746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2023
Certificate Expiration Date 7/5/2025
Facility Type Pharmacy
Lab Director CARLOS TREVIRO

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