32D1011259 CLIA NUMBER - AMBULATORY SURGERY IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 32D1011259
  • Facility Name: AMBULATORY SURGERY IMAGING CENTER
  • Facility Address: 1213 UNIVERSITY BLVD NE
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 505 272-1446
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREA L. SANDOVAL
  • NPI Number: 1508677311
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 32D1011259
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY SURGERY IMAGING CENTER
Street 1213 UNIVERSITY BLVD NE
City ALBUQUERQUE
State NM
ZIP 87102
Phone 505 272-1446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Ambulatory Surgery Center
Lab Director ANDREA L. SANDOVAL

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