45D2136693 CLIA NUMBER - WALMART PHARMACY 10-3661

Laboratory Demographics

  • CLIA Code: 45D2136693
  • Facility Name: WALMART PHARMACY 10-3661
  • Facility Address: 1551 N ZARAGOZA RD
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 855-2745
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERNEST ASABA
  • NPI Number: 1013934124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136693
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3661
Street 1551 N ZARAGOZA RD
City EL PASO
State TX
ZIP 79936
Phone 915 855-2745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director ERNEST ASABA

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