32D2007681 CLIA NUMBER - WALGREENS #11959

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Laboratory Demographics

CLIA Number: 32D2007681

Facility Name: WALGREENS #11959

Facility Address:
5201 CENTRAL AVE NE
ALBUQUERQUE, NM
ZIP 87108
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Facility Phone Number: 505 217-9907

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043491681

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	32D2007681
LAB Type	Pharmacy
Facility Name	WALGREENS #11959
Street	5201 CENTRAL AVE NE
City	ALBUQUERQUE
State	NM
ZIP	87108
Phone	505 217-9907
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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