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32D2223413 CLIA NUMBER - WALGREENS #06346

Laboratory Demographics

CLIA Number: 32D2223413

Facility Name: WALGREENS #06346

Facility Address:
525 W ZIA RD
SANTA FE, NM
ZIP 87505
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Facility Phone Number: 505 820-2196

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922013077

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 32D2223413
LAB Type Pharmacy
Facility Name WALGREENS #06346
Street 525 W ZIA RD
City SANTA FE
State NM
ZIP 87505
Phone 505 820-2196
CertificateType 4
CertificateEffectiveDate 5/6/2023
CertificateExpirationDate 5/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024