32D2240828 CLIA NUMBER - WALGREENS #02050

Laboratory Demographics

  • CLIA Code: 32D2240828
  • Facility Name: WALGREENS #02050
  • Facility Address: 315 N MAIN ST
    BELEN, NM
    ZIP 87002
  • Facility Phone: 505 861-1762
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS M. FOUTZ
  • NPI Number: 1477568525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2240828
LAB Type Pharmacy
Facility Name WALGREENS #02050
Street 315 N MAIN ST
City BELEN
State NM
ZIP 87002
Phone 505 861-1762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director ALEXIS M. FOUTZ

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