45D2136898 CLIA NUMBER - WALMART PHARMACY 10-5960

Laboratory Demographics

  • CLIA Code: 45D2136898
  • Facility Name: WALMART PHARMACY 10-5960
  • Facility Address: 10301 ALAMEDA AVE
    SOCORRO, TX
    ZIP 79927
  • Facility Phone: 915 245-3493
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANUEL RODRIGUEZ OCHOA
  • NPI Number: 1982977708
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136898
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5960
Street 10301 ALAMEDA AVE
City SOCORRO
State TX
ZIP 79927
Phone 915 245-3493
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 MANUEL RODRIGUEZ OCHOA

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