32D2133045 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #682

Laboratory Demographics

  • CLIA Code: 32D2133045
  • Facility Name: ALBERTSONS MARKET PHARMACY #682
  • Facility Address: 721 MECHEM DR, SUITE B
    RUIDOSO, NM
    ZIP 88345
  • Facility Phone: 575 630-8020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANSON WHITTON
  • NPI Number: 1588895213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133045
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #682
Street 721 MECHEM DR, SUITE B
City RUIDOSO
State NM
ZIP 88345
Phone 575 630-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Pharmacy
Lab Director ANSON WHITTON

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