32D2139097 CLIA NUMBER - WALMART PHARMACY 10-3428

Laboratory Demographics

  • CLIA Code: 32D2139097
  • Facility Name: WALMART PHARMACY 10-3428
  • Facility Address: 1400 W MAIN ST
    FARMINGTON, NM
    ZIP 87402
  • Facility Phone: 505 327-2262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARED C. WHITE
  • NPI Number: 1437176591
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2139097
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3428
Street 1400 W MAIN ST
City FARMINGTON
State NM
ZIP 87402
Phone 505 327-2262
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 JARED C. WHITE

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