32D2240838 CLIA NUMBER - WALGREENS #10808

Laboratory Demographics

  • CLIA Code: 32D2240838
  • Facility Name: WALGREENS #10808
  • Facility Address: 100 ROSEDALE RD
    SILVER CITY, NM
    ZIP 88061
  • Facility Phone: 575 534-0053
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN JAMES S. WRAITH
  • NPI Number: 1669616942
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2240838
LAB Type Pharmacy
Facility Name WALGREENS #10808
Street 100 ROSEDALE RD
City SILVER CITY
State NM
ZIP 88061
Phone 575 534-0053
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 STEPHEN JAMES S. WRAITH

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