32D2139992 CLIA NUMBER - WALMART PHARMACY 10-3596

Laboratory Demographics

  • CLIA Code: 32D2139992
  • Facility Name: WALMART PHARMACY 10-3596
  • Facility Address: 2250 MAIN ST NW
    LOS LUNAS, NM
    ZIP 87031
  • Facility Phone: 505 565-4622
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL RODRIGUEZ
  • NPI Number: 1154348209
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2139992
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3596
Street 2250 MAIN ST NW
City LOS LUNAS
State NM
ZIP 87031
Phone 505 565-4622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Pharmacy
Lab Director DANIEL RODRIGUEZ

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