32D2011515 CLIA NUMBER - WALGREENS #09007

Laboratory Demographics

  • CLIA Code: 32D2011515
  • Facility Name: WALGREENS #09007
  • Facility Address: 1870 E HIGHWAY 66
    GALLUP, NM
    ZIP 87301
  • Facility Phone: (505) 722-9499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHAEL L. MANN
  • NPI Number: 1437164332
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2011515
LAB Type Pharmacy
Facility Name WALGREENS #09007
Street 1870 E HIGHWAY 66
City GALLUP
State NM
ZIP 87301
Phone 5057229499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director RACHAEL L. MANN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026