32D2225170 CLIA NUMBER - WALGREENS #15603

Laboratory Demographics

  • CLIA Code: 32D2225170
  • Facility Name: WALGREENS #15603
  • Facility Address: 122 N GOLD AVE
    DEMING, NM
    ZIP 88030
  • Facility Phone: 575 543-2731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED JALLAD
  • NPI Number: 1245583350
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2225170
LAB Type Pharmacy
Facility Name WALGREENS #15603
Street 122 N GOLD AVE
City DEMING
State NM
ZIP 88030
Phone 575 543-2731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director AHMED JALLAD

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