45D2136891 CLIA NUMBER - WALMART PHARMACY 10-2201

Laboratory Demographics

  • CLIA Code: 45D2136891
  • Facility Name: WALMART PHARMACY 10-2201
  • Facility Address: 7101 GATEWAY BLVD W
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 779-6768
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOSKA GEBRU
  • NPI Number: 1720005994
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136891
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2201
Street 7101 GATEWAY BLVD W
City EL PASO
State TX
ZIP 79925
Phone 915 779-6768
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 YOSKA GEBRU

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