32D2116097 CLIA NUMBER - SMITH'S PHARMACY #414

Laboratory Demographics

  • CLIA Code: 32D2116097
  • Facility Name: SMITH'S PHARMACY #414
  • Facility Address: 2580 MAIN ST NE
    LOS LUNAS, NM
    ZIP 87031
  • Facility Phone: 505 865-3310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE MONTUORO
  • NPI Number: 1811912439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2116097
LAB Type Pharmacy
Facility Name SMITH'S PHARMACY #414
Street 2580 MAIN ST NE
City LOS LUNAS
State NM
ZIP 87031
Phone 505 865-3310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Pharmacy
Lab Director JAMIE MONTUORO

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This page was last updated on: 3/20/2025