32D1075643 CLIA NUMBER - WALGREENS PHARMACY #06587

Laboratory Demographics

  • CLIA Code: 32D1075643
  • Facility Name: WALGREENS PHARMACY #06587
  • Facility Address: 9700 MENAUL BLVD NE
    ALBUQUERQUE, NM
    ZIP 87112
  • Facility Phone: 505 299-9541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF BETTNER
  • NPI Number: 1336154228
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D1075643
LAB Type Pharmacy
Facility Name WALGREENS PHARMACY #06587
Street 9700 MENAUL BLVD NE
City ALBUQUERQUE
State NM
ZIP 87112
Phone 505 299-9541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director JEFF BETTNER

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This page was last updated on: 6/4/2025