32D2049548 CLIA NUMBER - WALGREENS #7881

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Laboratory Demographics

CLIA Number: 32D2049548

Facility Name: WALGREENS #7881

Facility Address:
5 WALKER ROAD
EDGEWOOD, NM
ZIP 87015
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Facility Phone Number: 505 281-0950

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659386704

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	32D2049548
LAB Type	Pharmacy
Facility Name	WALGREENS #7881
Street	5 WALKER ROAD
City	EDGEWOOD
State	NM
ZIP	87015
Phone	505 281-0950
CertificateType	4
CertificateEffectiveDate	10/21/2023
CertificateExpirationDate	10/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024