45D2136890 CLIA NUMBER - WALMART PHARMACY 10-1015

Laboratory Demographics

  • CLIA Code: 45D2136890
  • Facility Name: WALMART PHARMACY 10-1015
  • Facility Address: 7555 N MESA ST
    EL PASO, TX
    ZIP 79912
  • Facility Phone: 915 833-4332
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTY L. CROCKETT
  • NPI Number: 1689691834
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136890
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1015
Street 7555 N MESA ST
City EL PASO
State TX
ZIP 79912
Phone 915 833-4332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director KRISTY L. CROCKETT

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