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32D2133826 CLIA NUMBER - WALMART PHARMACY 10-3423

Laboratory Demographics

CLIA Number: 32D2133826

Facility Name: WALMART PHARMACY 10-3423

Facility Address:
5701 HERRERA DRIVE
SANTA FE, NM
ZIP 87507
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Facility Phone Number: 505 424-9166

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1851671028

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 32D2133826
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3423
Street 5701 HERRERA DRIVE
City SANTA FE
State NM
ZIP 87507
Phone 505 424-9166
CertificateType 4
CertificateEffectiveDate 7/20/2023
CertificateExpirationDate 7/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024