32D2011781 CLIA NUMBER - WALGREENS #03366

Laboratory Demographics

  • CLIA Code: 32D2011781
  • Facility Name: WALGREENS #03366
  • Facility Address: 3400 COORS BLVD NW
    ALBUQUERQUE, NM
    ZIP 87120
  • Facility Phone: 505 736-4111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARISSA D. GARNER
  • NPI Number: 1770899676
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2011781
LAB Type Pharmacy
Facility Name WALGREENS #03366
Street 3400 COORS BLVD NW
City ALBUQUERQUE
State NM
ZIP 87120
Phone 505 736-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director MARISSA D. GARNER

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