32D2223430 CLIA NUMBER - WALGREENS #11458

Laboratory Demographics

  • CLIA Code: 32D2223430
  • Facility Name: WALGREENS #11458
  • Facility Address: 3990 E LOHMAN AVE
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 522-1457
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1265662951
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2223430
LAB Type Pharmacy
Facility Name WALGREENS #11458
Street 3990 E LOHMAN AVE
City LAS CRUCES
State NM
ZIP 88011
Phone 575 522-1457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director AHMED JALLAD

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