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32D2140599 CLIA NUMBER - WALMART PHARMACY 10-3427

Laboratory Demographics

CLIA Number: 32D2140599

Facility Name: WALMART PHARMACY 10-3427

Facility Address:
604 N 26TH ST
ARTESIA, NM
ZIP 88210
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Facility Phone Number: 575 746-6137

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1578004438

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 32D2140599
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3427
Street 604 N 26TH ST
City ARTESIA
State NM
ZIP 88210
Phone 575 746-6137
CertificateType 4
CertificateEffectiveDate 11/27/2023
CertificateExpirationDate 11/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024