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32D1075643 CLIA NUMBER - WALGREENS PHARMACY #06587

Laboratory Demographics

CLIA Number: 32D1075643

Facility Name: WALGREENS PHARMACY #06587

Facility Address:
9700 MENAUL BLVD NE
ALBUQUERQUE, NM
ZIP 87112
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Facility Phone Number: 505 299-9541

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1336154228

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024