32D0707415 CLIA NUMBER - CARRIE TINGLEY HOSPITAL OUTPATIENT CLINICS

Laboratory Demographics

  • CLIA Code: 32D0707415
  • Facility Name: CARRIE TINGLEY HOSPITAL OUTPATIENT CLINICS
  • Facility Address: 1127 UNIVERSITY BOULEVARD NE
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 505 272-5232
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. JACQUELINE FRIDGE
  • NPI Number: 1669536603
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 32D0707415
LAB Type Hospital
Facility Name CARRIE TINGLEY HOSPITAL OUTPATIENT CLINICS
Street 1127 UNIVERSITY BOULEVARD NE
City ALBUQUERQUE
State NM
ZIP 87102
Phone 505 272-5232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospital
Lab Director DR. JACQUELINE FRIDGE

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