32D1033585 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #903

Laboratory Demographics

  • CLIA Code: 32D1033585
  • Facility Name: ALBERTSONS MARKET PHARMACY #903
  • Facility Address: 4300 RIDGECREST DRIVE SE
    ALBUQUERQUE, NM
    ZIP 87124
  • Facility Phone: 505 892-2262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA AGBEMADZO
  • NPI Number: 1316984834
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D1033585
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #903
Street 4300 RIDGECREST DRIVE SE
City ALBUQUERQUE
State NM
ZIP 87124
Phone 505 892-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director RITA AGBEMADZO

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