32D2011514 CLIA NUMBER - WALGREENS #09067

Laboratory Demographics

  • CLIA Code: 32D2011514
  • Facility Name: WALGREENS #09067
  • Facility Address: 701 E 20TH ST
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 326-3342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANUEL D. SAENZ
  • NPI Number: 1619982519
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011514
LAB Type Pharmacy
Facility Name WALGREENS #09067
Street 701 E 20TH ST
City FARMINGTON
State NM
ZIP 87401
Phone 505 326-3342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director MANUEL D. SAENZ

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