32D1033592 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #919

Laboratory Demographics

  • CLIA Code: 32D1033592
  • Facility Name: ALBERTSONS MARKET PHARMACY #919
  • Facility Address: 2351 MAIN STREET SE
    LOS LUNAS, NM
    ZIP 87031
  • Facility Phone: 505 865-2089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL GOLDBERG
  • NPI Number: 1497792915
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D1033592
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #919
Street 2351 MAIN STREET SE
City LOS LUNAS
State NM
ZIP 87031
Phone 505 865-2089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Pharmacy
Lab Director DANIEL GOLDBERG

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