32D1085356 CLIA NUMBER - RELIANCE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 32D1085356
  • Facility Name: RELIANCE MEDICAL GROUP LLC
  • Facility Address: 3451 N BUTLER AVE
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 324-1772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNARD L. STRADLING
  • NPI Number: 1497851208
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D1085356
LAB Type Physician Office
Facility Name RELIANCE MEDICAL GROUP LLC
Street 3451 N BUTLER AVE
City FARMINGTON
State NM
ZIP 87401
Phone 505 324-1772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director KENNARD L. STRADLING

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