32D2011779 CLIA NUMBER - WALGREENS #02900

Laboratory Demographics

  • CLIA Code: 32D2011779
  • Facility Name: WALGREENS #02900
  • Facility Address: 1096 S FRANCIS DR
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 982-9811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA G. JABER
  • NPI Number: 1548275449
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011779
LAB Type Pharmacy
Facility Name WALGREENS #02900
Street 1096 S FRANCIS DR
City SANTA FE
State NM
ZIP 87505
Phone 505 982-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director ANGELA G. JABER

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