32D2133822 CLIA NUMBER - WALMART PHARMACY 10-5155

Laboratory Demographics

  • CLIA Code: 32D2133822
  • Facility Name: WALMART PHARMACY 10-5155
  • Facility Address: 1550 S VALLEY DR
    LAS CRUCES, NM
    ZIP 88005
  • Facility Phone: 575 523-6844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESEOSA EGHAREVLOA
  • NPI Number: 1447277504
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133822
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5155
Street 1550 S VALLEY DR
City LAS CRUCES
State NM
ZIP 88005
Phone 575 523-6844
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 ESEOSA EGHAREVLOA

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