32D2232119 CLIA NUMBER - WALGREENS #01941

Laboratory Demographics

  • CLIA Code: 32D2232119
  • Facility Name: WALGREENS #01941
  • Facility Address: 1200 S MAIN ST
    ROSWELL, NM
    ZIP 88203
  • Facility Phone: 575 624-1439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WEITIAN JIANG
  • NPI Number: 1215948443
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2232119
LAB Type Pharmacy
Facility Name WALGREENS #01941
Street 1200 S MAIN ST
City ROSWELL
State NM
ZIP 88203
Phone 575 624-1439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director WEITIAN JIANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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