32D2020992 CLIA NUMBER - WALGREENS #04950

Laboratory Demographics

  • CLIA Code: 32D2020992
  • Facility Name: WALGREENS #04950
  • Facility Address: 700 E 21ST STREET
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 762-3851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF BETTNER
  • NPI Number: 1457366353
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2020992
LAB Type Pharmacy
Facility Name WALGREENS #04950
Street 700 E 21ST STREET
City CLOVIS
State NM
ZIP 88101
Phone 575 762-3851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director JEFF BETTNER

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