32D2140623 CLIA NUMBER - WALMART PHARMACY 10-3731

Laboratory Demographics

  • CLIA Code: 32D2140623
  • Facility Name: WALMART PHARMACY 10-3731
  • Facility Address: 460 NM HIGHWAY #528
    BERNALILLO, NM
    ZIP 87004
  • Facility Phone: 505 771-4877
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE GUTIERREZ
  • NPI Number: 1992981310
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2140623
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3731
Street 460 NM HIGHWAY #528
City BERNALILLO
State NM
ZIP 87004
Phone 505 771-4877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Pharmacy
Lab Director NICOLE GUTIERREZ

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