32D2001089 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #905

Laboratory Demographics

  • CLIA Code: 32D2001089
  • Facility Name: ALBERTSONS MARKET PHARMACY #905
  • Facility Address: 2910 JUAN TABO BLVD NE
    ALBUQUERQUE, NM
    ZIP 87112
  • Facility Phone: 505 299-8600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORRIANE CARLISLE
  • NPI Number: 1306044730
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2001089
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #905
Street 2910 JUAN TABO BLVD NE
City ALBUQUERQUE
State NM
ZIP 87112
Phone 505 299-8600
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 LORRIANE CARLISLE

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