32D2223416 CLIA NUMBER - WALGREENS #09608

Laboratory Demographics

CLIA Number: 32D2223416

Facility Name: WALGREENS #09608

Facility Address:
6250 PASEO DEL NORTE
ALBUQUERQUE, NM
ZIP 87113
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Facility Phone Number: 505 217-2392

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003821158

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	32D2223416
LAB Type	Pharmacy
Facility Name	WALGREENS #09608
Street	6250 PASEO DEL NORTE
City	ALBUQUERQUE
State	NM
ZIP	87113
Phone	505 217-2392
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