32D0980217 CLIA NUMBER - JOURNEY PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 32D0980217
  • Facility Name: JOURNEY PEDIATRICS PC
  • Facility Address: 8308 CONSTITUTION PL NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 883-9570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALWYN A. KOIL
  • NPI Number: 1205205630
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0980217
LAB Type Physician Office
Facility Name JOURNEY PEDIATRICS PC
Street 8308 CONSTITUTION PL NE
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 883-9570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. ALWYN A. KOIL

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This page was last updated on: 3/20/2025