32D2192703 CLIA NUMBER - HIGHLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 32D2192703
  • Facility Name: HIGHLAND PHARMACY
  • Facility Address: 717 ENCINO PL NE STE1
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 505 243-3777
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JESSICA L. SHAW
  • NPI Number: 1417945494
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2192703
LAB Type Mobile Laboratory
Facility Name HIGHLAND PHARMACY
Street 717 ENCINO PL NE STE1
City ALBUQUERQUE
State NM
ZIP 87102
Phone 505 243-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Mobile Laboratory
Lab Director JESSICA L. SHAW

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