32D2152294 CLIA NUMBER - NOWELL PHARMACY

Laboratory Demographics

  • CLIA Code: 32D2152294
  • Facility Name: NOWELL PHARMACY
  • Facility Address: 122 W ADAMS
    LOVINGTON, NM
    ZIP 88260
  • Facility Phone: 575 396-4242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA DOMZALSKI DE RIOS
  • NPI Number: 1568473114
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2152294
LAB Type Pharmacy
Facility Name NOWELL PHARMACY
Street 122 W ADAMS
City LOVINGTON
State NM
ZIP 88260
Phone 575 396-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Pharmacy
Lab Director JENNA DOMZALSKI DE RIOS

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