32D2240838 CLIA NUMBER - WALGREENS #10808

Laboratory Demographics

CLIA Number: 32D2240838

Facility Name: WALGREENS #10808

Facility Address:
100 ROSEDALE RD
SILVER CITY, NM
ZIP 88061
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Facility Phone Number: 575 534-0053

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669616942

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	32D2240838
LAB Type	Pharmacy
Facility Name	WALGREENS #10808
Street	100 ROSEDALE RD
City	SILVER CITY
State	NM
ZIP	88061
Phone	575 534-0053
CertificateType	4
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	Waiver

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