32D2011764 CLIA NUMBER - WALGREENS #06610

Laboratory Demographics

  • CLIA Code: 32D2011764
  • Facility Name: WALGREENS #06610
  • Facility Address: 2500 MAIN STREET NE
    LOS LUNAS, NM
    ZIP 87031
  • Facility Phone: 505 865-7551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON JARAMILLO
  • NPI Number: 1346413507
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011764
LAB Type Pharmacy
Facility Name WALGREENS #06610
Street 2500 MAIN STREET NE
City LOS LUNAS
State NM
ZIP 87031
Phone 505 865-7551
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 JASON JARAMILLO

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