32D1025903 CLIA NUMBER - SAN JUAN ONCOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 32D1025903
  • Facility Name: SAN JUAN ONCOLOGY ASSOCIATES
  • Facility Address: 2325 E 30TH ST
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 564-6850
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFERY NEIDHART
  • NPI Number: 1558446187
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D1025903
LAB Type Physician Office
Facility Name SAN JUAN ONCOLOGY ASSOCIATES
Street 2325 E 30TH ST
City FARMINGTON
State NM
ZIP 87401
Phone 505 564-6850
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. JEFFERY NEIDHART

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This page was last updated on: 6/4/2025