32D2011752 CLIA NUMBER - WALGREENS #03934

Laboratory Demographics

  • CLIA Code: 32D2011752
  • Facility Name: WALGREENS #03934
  • Facility Address: 3298 CERRILLOS RD
    SANTA FE, NM
    ZIP 87507
  • Facility Phone: 505 474-5307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. ESTRADA
  • NPI Number: 1104120047
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011752
LAB Type Pharmacy
Facility Name WALGREENS #03934
Street 3298 CERRILLOS RD
City SANTA FE
State NM
ZIP 87507
Phone 505 474-5307
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 ELIZABETH A. ESTRADA

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