32D1033603 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #987

Laboratory Demographics

  • CLIA Code: 32D1033603
  • Facility Name: ALBERTSONS MARKET PHARMACY #987
  • Facility Address: 3001 S ST FRANCIS DRIVE
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 992-8638
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLYN ABANTE
  • NPI Number: 1770520298
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D1033603
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #987
Street 3001 S ST FRANCIS DRIVE
City SANTA FE
State NM
ZIP 87505
Phone 505 992-8638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Pharmacy
Lab Director CAROLYN ABANTE

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