45D2136916 CLIA NUMBER - WALMART PHARMACY 10-0500

Laboratory Demographics

  • CLIA Code: 45D2136916
  • Facility Name: WALMART PHARMACY 10-0500
  • Facility Address: 4530 WOODROW BEAN
    EL PASO, TX
    ZIP 79924
  • Facility Phone: (915) 757-2538
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNETTE VILLALOBOS
  • NPI Number: 1013934124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136916
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0500
Street 4530 WOODROW BEAN
City EL PASO
State TX
ZIP 79924
Phone 9157572538
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 ANNETTE VILLALOBOS

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This page was last updated on: 5/18/2026