45D2103124 CLIA NUMBER - WALMART PHARMACY 10-6587

Laboratory Demographics

  • CLIA Code: 45D2103124
  • Facility Name: WALMART PHARMACY 10-6587
  • Facility Address: 10840 MARTIN LUTHER
    EL PASO, TX
    ZIP 79934
  • Facility Phone: 479 277-0139
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA L. MONTOYA
  • NPI Number: 1184019358
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2103124
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6587
Street 10840 MARTIN LUTHER
City EL PASO
State TX
ZIP 79934
Phone 479 277-0139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director SAMANTHA L. MONTOYA

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