32D2232087 CLIA NUMBER - WALGREENS #05997

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Laboratory Demographics

CLIA Number: 32D2232087

Facility Name: WALGREENS #05997

Facility Address:
2625 SAN PEDRO DR NE
ALBUQUERQUE, NM
ZIP 87110
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Facility Phone Number: 505 883-5760

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639184534

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	32D2232087
LAB Type	Pharmacy
Facility Name	WALGREENS #05997
Street	2625 SAN PEDRO DR NE
City	ALBUQUERQUE
State	NM
ZIP	87110
Phone	505 883-5760
CertificateType	4
CertificateEffectiveDate	8/10/2023
CertificateExpirationDate	8/9/2025
FacilityType	Waiver

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