32D2133836 CLIA NUMBER - WALMART PHARMACY 10-850

Laboratory Demographics

CLIA Number: 32D2133836

Facility Name: WALMART PHARMACY 10-850

Facility Address:
2701 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110
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Facility Phone Number: 505 881-8496

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255358396

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 32D2133836
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-850
Street 2701 CARLISLE BLVD NE
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 881-8496
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