32D2068387 CLIA NUMBER - SAM'S REGENT PHARMACY

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Laboratory Demographics

CLIA Number: 32D2068387

Facility Name: SAM'S REGENT PHARMACY

Facility Address:
7120 WYOMING NE SUITE 7B
ALBUQUERQUE, NM
ZIP 87109
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Facility Phone Number: 505 346-0533

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669579595

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	32D2068387
LAB Type	Pharmacy
Facility Name	SAM'S REGENT PHARMACY
Street	7120 WYOMING NE SUITE 7B
City	ALBUQUERQUE
State	NM
ZIP	87109
Phone	505 346-0533
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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