32D2224075 CLIA NUMBER - WALGREENS #05732

Laboratory Demographics

  • CLIA Code: 32D2224075
  • Facility Name: WALGREENS #05732
  • Facility Address: 7850 ENCHANTED HILLS BLVD
    RIO RANCHO, NM
    ZIP 87144
  • Facility Phone: (505) 771-2777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF BETTNER
  • NPI Number: 1295740348
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2224075
LAB Type Pharmacy
Facility Name WALGREENS #05732
Street 7850 ENCHANTED HILLS BLVD
City RIO RANCHO
State NM
ZIP 87144
Phone 5057712777
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: 5/18/2026