32D0950152 CLIA NUMBER - SAN JUAN HEALTH PARTNERS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 32D0950152
  • Facility Name: SAN JUAN HEALTH PARTNERS PEDIATRICS
  • Facility Address: 407 S SCHWARTZ AVE, SUITE 102
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 609-6708
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY SCOGGINS
  • NPI Number: 1518932151
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D0950152
LAB Type Physician Office
Facility Name SAN JUAN HEALTH PARTNERS PEDIATRICS
Street 407 S SCHWARTZ AVE, SUITE 102
City FARMINGTON
State NM
ZIP 87401
Phone 505 609-6708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director BRADLEY SCOGGINS

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This page was last updated on: 6/4/2025