32D0923199 CLIA NUMBER - PEANUT BUTTER & JELLY THERAPEUTIC PRESCHOOL

Laboratory Demographics

  • CLIA Code: 32D0923199
  • Facility Name: PEANUT BUTTER & JELLY THERAPEUTIC PRESCHOOL
  • Facility Address: 1101 LOPEZ SW
    ALBUQUERQUE, NM
    ZIP 87105
  • Facility Phone: 505 877-7060
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JENNIFER THOMPSON
  • NPI Number: 1619256427
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 32D0923199
LAB Type School/Student Health Service
Facility Name PEANUT BUTTER & JELLY THERAPEUTIC PRESCHOOL
Street 1101 LOPEZ SW
City ALBUQUERQUE
State NM
ZIP 87105
Phone 505 877-7060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type School/Student Health Service
Lab Director JENNIFER THOMPSON

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