32D2011783 CLIA NUMBER - WALGREENS #15033

Laboratory Demographics

  • CLIA Code: 32D2011783
  • Facility Name: WALGREENS #15033
  • Facility Address: 3401 ISLETA BLVD SW
    ALBUQUERQUE, NM
    ZIP 87105
  • Facility Phone: 505 877-3130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE D. COLLISHAW
  • NPI Number: 1356356257
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2011783
LAB Type Pharmacy
Facility Name WALGREENS #15033
Street 3401 ISLETA BLVD SW
City ALBUQUERQUE
State NM
ZIP 87105
Phone 505 877-3130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director LESLIE D. COLLISHAW

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