32D0931276 CLIA NUMBER - PHC LOS ALAMOS INC DBA LOS ALAMOS MEDICAL CENTER NURSING SERVICES

Laboratory Demographics

  • CLIA Code: 32D0931276
  • Facility Name: PHC LOS ALAMOS INC DBA LOS ALAMOS MEDICAL CENTER NURSING SERVICES
  • Facility Address: 3917 WEST ROAD ATTN VICKI R. MARTINEZ ADMINISTRATION
    LOS ALAMOS, NM
    ZIP 87544
  • Facility Phone: 505 662-4201
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: H CLARK ANDERSON MD
  • NPI Number: 1215005129
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 32D0931276
LAB Type Other
Facility Name PHC LOS ALAMOS INC DBA LOS ALAMOS MEDICAL CENTER NURSING SERVICES
Street 3917 WEST ROAD ATTN VICKI R. MARTINEZ ADMINISTRATION
City LOS ALAMOS
State NM
ZIP 87544
Phone 505 662-4201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Other
Lab Director H CLARK ANDERSON MD

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