45D2136474 CLIA NUMBER - WALMART PHARMACY 10-0964

Laboratory Demographics

  • CLIA Code: 45D2136474
  • Facility Name: WALMART PHARMACY 10-0964
  • Facility Address: 9441 ALAMEDA AVE
    EL PASO, TX
    ZIP 79907
  • Facility Phone: 915 858-1071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL A. ANTUNEZ
  • NPI Number: 1952328106
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136474
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0964
Street 9441 ALAMEDA AVE
City EL PASO
State TX
ZIP 79907
Phone 915 858-1071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Pharmacy
Lab Director DANIEL A. ANTUNEZ

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