32D2133821 CLIA NUMBER - WALMART PHARMACY 10-5430

Laboratory Demographics

  • CLIA Code: 32D2133821
  • Facility Name: WALMART PHARMACY 10-5430
  • Facility Address: 3500 COORS BLVD SW
    ALBUQUERQUE, NM
    ZIP 87121
  • Facility Phone: 505 877-8987
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRIAM P. LUCERO
  • NPI Number: 1083631147
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133821
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5430
Street 3500 COORS BLVD SW
City ALBUQUERQUE
State NM
ZIP 87121
Phone 505 877-8987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director MIRIAM P. LUCERO

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