32D2135107 CLIA NUMBER - WALMART PHARMACY 10-806

Laboratory Demographics

  • CLIA Code: 32D2135107
  • Facility Name: WALMART PHARMACY 10-806
  • Facility Address: 571 WALTON BLVD
    LAS CRUCES, NM
    ZIP 88001
  • Facility Phone: 575 524-3501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IVAN N. NWAOGU
  • NPI Number: 1073530119
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2135107
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-806
Street 571 WALTON BLVD
City LAS CRUCES
State NM
ZIP 88001
Phone 575 524-3501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director IVAN N. NWAOGU

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