32D1025903 CLIA NUMBER - SAN JUAN ONCOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 32D1025903

Facility Name: SAN JUAN ONCOLOGY ASSOCIATES

Facility Address:
2325 E 30TH ST
FARMINGTON, NM
ZIP 87401
Get Directions

Facility Phone Number: 505 564-6850

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1558446187

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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
CertificateType	1
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024