32D2139010 CLIA NUMBER - WALMART PHARMACY 10-873

Laboratory Demographics

  • CLIA Code: 32D2139010
  • Facility Name: WALMART PHARMACY 10-873
  • Facility Address: 926 PASEO DEL PUEBLO SUR
    TAOS, NM
    ZIP 87571
  • Facility Phone: 575 758-2743
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES BACKERS
  • NPI Number: 1528085677
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2139010
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-873
Street 926 PASEO DEL PUEBLO SUR
City TAOS
State NM
ZIP 87571
Phone 575 758-2743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director JAMES BACKERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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