32D0920590 CLIA NUMBER - DURAN CENTRAL PHARMACY MOBILE VAN

Laboratory Demographics

  • CLIA Code: 32D0920590
  • Facility Name: DURAN CENTRAL PHARMACY MOBILE VAN
  • Facility Address: 1815 CENTRAL AVENUE NW
    ALBUQUERQUE, NM
    ZIP 87104
  • Facility Phone: (505) 247-4141
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MONA GHATTAS
  • NPI Number: 1497825970
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D0920590
LAB Type Mobile Laboratory
Facility Name DURAN CENTRAL PHARMACY MOBILE VAN
Street 1815 CENTRAL AVENUE NW
City ALBUQUERQUE
State NM
ZIP 87104
Phone 5052474141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Mobile Laboratory
Lab Director MONA GHATTAS

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This page was last updated on: 5/18/2026