32D1002003 CLIA NUMBER - PINERIDGE URGENT CARE

Laboratory Demographics

  • CLIA Code: 32D1002003
  • Facility Name: PINERIDGE URGENT CARE
  • Facility Address: 12125 N HWY 14
    CEDAR CREST, NM
    ZIP 87008
  • Facility Phone: 505 281-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIR H. MANOUCHEHRI
  • NPI Number: 1548404825
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D1002003
LAB Type Physician Office
Facility Name PINERIDGE URGENT CARE
Street 12125 N HWY 14
City CEDAR CREST
State NM
ZIP 87008
Phone 505 281-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director AMIR H. MANOUCHEHRI

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