32D2141415 CLIA NUMBER - WALMART PHARMACY 10-5492

Laboratory Demographics

  • CLIA Code: 32D2141415
  • Facility Name: WALMART PHARMACY 10-5492
  • Facility Address: 700 N 6TH ST
    SOCORRO, NM
    ZIP 87801
  • Facility Phone: 575 838-1426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA BRANNAN
  • NPI Number: 1174540231
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2141415
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5492
Street 700 N 6TH ST
City SOCORRO
State NM
ZIP 87801
Phone 575 838-1426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director JOSHUA BRANNAN

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