32D2139019 CLIA NUMBER - WALMART 10-1397

Laboratory Demographics

  • CLIA Code: 32D2139019
  • Facility Name: WALMART 10-1397
  • Facility Address: 10224 COORS BYP NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Facility Phone: 505 897-6935
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY HERNANDEZ
  • NPI Number: 1578581278
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2139019
LAB Type Pharmacy
Facility Name WALMART 10-1397
Street 10224 COORS BYP NW
City ALBUQUERQUE
State NM
ZIP 87114
Phone 505 897-6935
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 MARY HERNANDEZ

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