32D0922119 CLIA NUMBER - PRESBYTERIAN MEDICAL SERVICES/DBA MOUNTAINAIR FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 32D0922119
  • Facility Name: PRESBYTERIAN MEDICAL SERVICES/DBA MOUNTAINAIR FAMILY HEALTH CENTER
  • Facility Address: 105 E PINON STREET
    MOUNTAINAIR, NM
    ZIP 87036
  • Facility Phone: 505 847-2271
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CARMEN MOSELEY-SUAZO
  • NPI Number: 1225117773
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0922119
LAB Type Community Clinic
Facility Name PRESBYTERIAN MEDICAL SERVICES/DBA MOUNTAINAIR FAMILY HEALTH CENTER
Street 105 E PINON STREET
City MOUNTAINAIR
State NM
ZIP 87036
Phone 505 847-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Community Clinic
Lab Director CARMEN MOSELEY-SUAZO

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