32D2200880 CLIA NUMBER - MODERN ALCHEMIST COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 32D2200880
  • Facility Name: MODERN ALCHEMIST COMPOUNDING PHARMACY
  • Facility Address: 7900 SAN PEDRO DR, NE SUITE A-8
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 200-0033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAWID FARHAD
  • NPI Number: 1881202372
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2200880
LAB Type Pharmacy
Facility Name MODERN ALCHEMIST COMPOUNDING PHARMACY
Street 7900 SAN PEDRO DR, NE SUITE A-8
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 200-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Pharmacy
Lab Director NAWID FARHAD

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