32D2140605 CLIA NUMBER - WALMART PHARMACY 10-829

Laboratory Demographics

  • CLIA Code: 32D2140605
  • Facility Name: WALMART PHARMACY 10-829
  • Facility Address: 3251 CERRILLOS RD
    SANTA FE, NM
    ZIP 87507
  • Facility Phone: (505) 413-4261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MARTINEZ
  • NPI Number: 1649671777
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2140605
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-829
Street 3251 CERRILLOS RD
City SANTA FE
State NM
ZIP 87507
Phone 5054134261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2025
Certificate Expiration Date 11/26/2027
Facility Type Pharmacy
Lab Director STEPHANIE MARTINEZ

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This page was last updated on: 5/18/2026