32D2133213 CLIA NUMBER - WALMART PHARMACY 10-0611

Laboratory Demographics

  • CLIA Code: 32D2133213
  • Facility Name: WALMART PHARMACY 10-0611
  • Facility Address: 4500 N MAIN ST, SUITE A
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 622-3812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: APRIL ESHOM
  • NPI Number: 1235157934
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133213
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0611
Street 4500 N MAIN ST, SUITE A
City ROSWELL
State NM
ZIP 88201
Phone 575 622-3812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Pharmacy
Lab Director APRIL ESHOM

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