32D2242599 CLIA NUMBER - WALGREENS #02053

Laboratory Demographics

  • CLIA Code: 32D2242599
  • Facility Name: WALGREENS #02053
  • Facility Address: 6565 PARADISE BLVD NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Facility Phone: 505 217-0983
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY JO HADDAD
  • NPI Number: 1902813801
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2242599
LAB Type Pharmacy
Facility Name WALGREENS #02053
Street 6565 PARADISE BLVD NW
City ALBUQUERQUE
State NM
ZIP 87114
Phone 505 217-0983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director KELLY JO HADDAD

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