32D1088217 CLIA NUMBER - OPTUMCARE NEW MEXICO LLC MIDTOWN

Laboratory Demographics

  • CLIA Code: 32D1088217
  • Facility Name: OPTUMCARE NEW MEXICO LLC MIDTOWN
  • Facility Address: 1821 CARLISLE BLVD NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 702-7998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DON J. ORTIZ
  • NPI Number: 1396906798
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D1088217
LAB Type Physician Office
Facility Name OPTUMCARE NEW MEXICO LLC MIDTOWN
Street 1821 CARLISLE BLVD NE
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 702-7998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director DON J. ORTIZ

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