32D0536451 CLIA NUMBER - ARROYO CHAMISO PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 32D0536451
  • Facility Name: ARROYO CHAMISO PEDIATRIC CENTER
  • Facility Address: 465 ST MICHAELS DR SUITE 200
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 995-4901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER CHITTUM
  • NPI Number: 1568589653
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D0536451
LAB Type Physician Office
Facility Name ARROYO CHAMISO PEDIATRIC CENTER
Street 465 ST MICHAELS DR SUITE 200
City SANTA FE
State NM
ZIP 87505
Phone 505 995-4901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director DR. JENNIFER CHITTUM

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