32D2243570 CLIA NUMBER - SIERRA BLANCA PHARMACY

Laboratory Demographics

  • CLIA Code: 32D2243570
  • Facility Name: SIERRA BLANCA PHARMACY
  • Facility Address: 1206 MECHEM DR
    RUIDOSO, NM
    ZIP 88345
  • Facility Phone: 575 258-2456
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS H. WOODUL
  • NPI Number: 1740549054
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2243570
LAB Type Pharmacy
Facility Name SIERRA BLANCA PHARMACY
Street 1206 MECHEM DR
City RUIDOSO
State NM
ZIP 88345
Phone 575 258-2456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director CHRIS H. WOODUL

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