32D1098975 CLIA NUMBER - ULTIMED RIO RANCHO INC

Laboratory Demographics

CLIA Number: 32D1098975

Facility Name: ULTIMED RIO RANCHO INC

Facility Address:
7555 ENCHANTED HILLS BLVD
RIO RANCHO, NM
ZIP 87144
Get Directions

Facility Phone Number: 505 771-9833

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396051835

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D1098975
LAB Type	Physician Office
Facility Name	ULTIMED RIO RANCHO INC
Street	7555 ENCHANTED HILLS BLVD
City	RIO RANCHO
State	NM
ZIP	87144
Phone	505 771-9833
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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