32D0987869 CLIA NUMBER - GALLUP VA COMMUNITY BASED CLINIC

Laboratory Demographics

  • CLIA Code: 32D0987869
  • Facility Name: GALLUP VA COMMUNITY BASED CLINIC
  • Facility Address: 1985 STATE ROAD 602
    GALLUP, NM
    ZIP 87301
  • Facility Phone: 505 863-4431
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: BRITTANY COFFMAN
  • NPI Number: 1477509172
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0987869
LAB Type Community Clinic
Facility Name GALLUP VA COMMUNITY BASED CLINIC
Street 1985 STATE ROAD 602
City GALLUP
State NM
ZIP 87301
Phone 505 863-4431
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/15/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director BRITTANY COFFMAN

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