32D1008059 CLIA NUMBER - RIO GRANDE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 32D1008059
  • Facility Name: RIO GRANDE FAMILY MEDICINE
  • Facility Address: 711 ENCINO PLACE NE, SUITE D
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 505 224-7400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SATKIRIN K. KHALSA
  • NPI Number: 1164646600
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D1008059
LAB Type Physician Office
Facility Name RIO GRANDE FAMILY MEDICINE
Street 711 ENCINO PLACE NE, SUITE D
City ALBUQUERQUE
State NM
ZIP 87102
Phone 505 224-7400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director DR. SATKIRIN K. KHALSA

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