32D2011738 CLIA NUMBER - WALGREENS #04421

Laboratory Demographics

  • CLIA Code: 32D2011738
  • Facility Name: WALGREENS #04421
  • Facility Address: 3100 N MAIN STREET
    LAS CRUCES, NM
    ZIP 88001
  • Facility Phone: 575 525-0298
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DINA VALLE
  • NPI Number: 1578578621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011738
LAB Type Pharmacy
Facility Name WALGREENS #04421
Street 3100 N MAIN STREET
City LAS CRUCES
State NM
ZIP 88001
Phone 575 525-0298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director DINA VALLE

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