32D2133829 CLIA NUMBER - WALMART PHARMACY 10-2924

Laboratory Demographics

  • CLIA Code: 32D2133829
  • Facility Name: WALMART PHARMACY 10-2924
  • Facility Address: 2550 COORS BLVD NW
    ALBUQUERQUE, NM
    ZIP 87120
  • Facility Phone: 505 352-1880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY B. NIETO
  • NPI Number: 1952329658
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133829
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2924
Street 2550 COORS BLVD NW
City ALBUQUERQUE
State NM
ZIP 87120
Phone 505 352-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Pharmacy
Lab Director AMY B. NIETO

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