32D2224056 CLIA NUMBER - WALGREENS #04047

Laboratory Demographics

  • CLIA Code: 32D2224056
  • Facility Name: WALGREENS #04047
  • Facility Address: 101 COORS BLVD NW
    ALBUQUERQUE, NM
    ZIP 87121
  • Facility Phone: 505 831-3147
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF BETTNER
  • NPI Number: 1740295898
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2224056
LAB Type Pharmacy
Facility Name WALGREENS #04047
Street 101 COORS BLVD NW
City ALBUQUERQUE
State NM
ZIP 87121
Phone 505 831-3147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director JEFF BETTNER

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