32D2244750 CLIA NUMBER - WALGREENS #02425

Laboratory Demographics

  • CLIA Code: 32D2244750
  • Facility Name: WALGREENS #02425
  • Facility Address: 620 MILLS AVE
    LAS VEGAS, NM
    ZIP 87701
  • Facility Phone: 505 425-3317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZIVILE SEAMONS
  • NPI Number: 1891700795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2244750
LAB Type Pharmacy
Facility Name WALGREENS #02425
Street 620 MILLS AVE
City LAS VEGAS
State NM
ZIP 87701
Phone 505 425-3317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director ZIVILE SEAMONS

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