45D2152634 CLIA NUMBER - WALMART PHARMACY 10-5947

Laboratory Demographics

  • CLIA Code: 45D2152634
  • Facility Name: WALMART PHARMACY 10-5947
  • Facility Address: 5631 DYER ST
    EL PASO, TX
    ZIP 79904
  • Facility Phone: 915 245-3517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARINZE AGBAPURU
  • NPI Number: 1831464791
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2152634
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5947
Street 5631 DYER ST
City EL PASO
State TX
ZIP 79904
Phone 915 245-3517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Pharmacy
Lab Director ARINZE AGBAPURU

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This page was last updated on: 3/20/2025