32D0536188 CLIA NUMBER - FARMINGTON COMMUNITY HEALTH CENTER PRESBYTERIAN MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 32D0536188
  • Facility Name: FARMINGTON COMMUNITY HEALTH CENTER PRESBYTERIAN MEDICAL SERVICES
  • Facility Address: 1001 WEST BROADWAY SUITE E
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 327-4796
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ELIZABETH GENTRY
  • NPI Number: 1285646455
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0536188
LAB Type Federally Qualified Health Center
Facility Name FARMINGTON COMMUNITY HEALTH CENTER PRESBYTERIAN MEDICAL SERVICES
Street 1001 WEST BROADWAY SUITE E
City FARMINGTON
State NM
ZIP 87401
Phone 505 327-4796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Federally Qualified Health Center
Lab Director ELIZABETH GENTRY

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