32D0690009 CLIA NUMBER - BLUE AND RED BIRD CORP PC

Laboratory Demographics

  • CLIA Code: 32D0690009
  • Facility Name: BLUE AND RED BIRD CORP PC
  • Facility Address: 815 W 14TH STREET
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 762-6492
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ALI M. GHAFFARI SR
  • NPI Number: 1124579958
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0690009
LAB Type Physician Office
Facility Name BLUE AND RED BIRD CORP PC
Street 815 W 14TH STREET
City CLOVIS
State NM
ZIP 88101
Phone 575 762-6492
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. ALI M. GHAFFARI SR

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This page was last updated on: 3/20/2025