32D2282085 CLIA NUMBER - CVS PHARMACY, INC DBA CVS/PHARMACY #05494

Laboratory Demographics

  • CLIA Code: 32D2282085
  • Facility Name: CVS PHARMACY, INC DBA CVS/PHARMACY #05494
  • Facility Address: 1500 TRAMWAY BLVD, NE
    ALBUQUERQUE, NM
    ZIP 87112
  • Facility Phone: 505 296-4803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN VASQUEZ
  • NPI Number: 1962795542
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2282085
LAB Type Pharmacy
Facility Name CVS PHARMACY, INC DBA CVS/PHARMACY #05494
Street 1500 TRAMWAY BLVD, NE
City ALBUQUERQUE
State NM
ZIP 87112
Phone 505 296-4803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Pharmacy
Lab Director NATHAN VASQUEZ

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