32D2133046 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #691

Laboratory Demographics

  • CLIA Code: 32D2133046
  • Facility Name: ALBERTSONS MARKET PHARMACY #691
  • Facility Address: 900 WEST 2ND STREET
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 622-1984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRIAM FANGA
  • NPI Number: 1750410536
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2133046
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #691
Street 900 WEST 2ND STREET
City ROSWELL
State NM
ZIP 88201
Phone 575 622-1984
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 MIRIAM FANGA

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