32D2011733 CLIA NUMBER - WALGREENS #11960

Laboratory Demographics

  • CLIA Code: 32D2011733
  • Facility Name: WALGREENS #11960
  • Facility Address: 1256 EL PASEO ROAD
    LAS CRUCES, NM
    ZIP 88001
  • Facility Phone: 575 525-8713
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1588937551
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 32D2011733
LAB Type Pharmacy
Facility Name WALGREENS #11960
Street 1256 EL PASEO ROAD
City LAS CRUCES
State NM
ZIP 88001
Phone 575 525-8713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2023
Certificate Expiration Date 5/5/2025
Facility Type Pharmacy
Lab Director AHMED JALLAD

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This page was last updated on: 3/20/2025