32D1033604 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #690

Laboratory Demographics

  • CLIA Code: 32D1033604
  • Facility Name: ALBERTSONS MARKET PHARMACY #690
  • Facility Address: 1110 S MAIN STREET
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 622-7039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH ACHEAMPONG
  • NPI Number: 1679512057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D1033604
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #690
Street 1110 S MAIN STREET
City ROSWELL
State NM
ZIP 88201
Phone 575 622-7039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director JOSEPH ACHEAMPONG

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