32D2133836 CLIA NUMBER - WALMART PHARMACY 10-850

Laboratory Demographics

  • CLIA Code: 32D2133836
  • Facility Name: WALMART PHARMACY 10-850
  • Facility Address: 2701 CARLISLE BLVD NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 881-8496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUCLINE PHAN
  • NPI Number: 1255358396
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 JACQUCLINE PHAN

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