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32D2225232 CLIA NUMBER - WALGREENS #04911

Laboratory Demographics

CLIA Number: 32D2225232

Facility Name: WALGREENS #04911

Facility Address:
6000 COORS BLVD NW
ALBUQUERQUE, NM
ZIP 87120
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Facility Phone Number: 505 899-0989

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1346257243

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 32D2225232
LAB Type Pharmacy
Facility Name WALGREENS #04911
Street 6000 COORS BLVD NW
City ALBUQUERQUE
State NM
ZIP 87120
Phone 505 899-0989
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024