32D0536467 CLIA NUMBER - CHILDRENS CLINIC PA

Laboratory Demographics

  • CLIA Code: 32D0536467
  • Facility Name: CHILDRENS CLINIC PA
  • Facility Address: 3917 WEST ROAD SUITE 128
    LOS ALAMOS, NM
    ZIP 87544
  • Facility Phone: 505 662-4234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN B. NEAL
  • NPI Number: 1679793277
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 32D0536467
LAB Type Physician Office
Facility Name CHILDRENS CLINIC PA
Street 3917 WEST ROAD SUITE 128
City LOS ALAMOS
State NM
ZIP 87544
Phone 505 662-4234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. JOHN B. NEAL

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