32D0880554 CLIA NUMBER - BRYAN S POE DO

Laboratory Demographics

  • CLIA Code: 32D0880554
  • Facility Name: BRYAN S POE DO
  • Facility Address: 406 S PARK AVE
    AZTEC, NM
    ZIP 87410
  • Facility Phone: 505 334-2852
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRYAN S. POE
  • NPI Number: 1093888380
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D0880554
LAB Type Physician Office
Facility Name BRYAN S POE DO
Street 406 S PARK AVE
City AZTEC
State NM
ZIP 87410
Phone 505 334-2852
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 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director BRYAN S. POE

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