32D2008639 CLIA NUMBER - ASAP PRIMARY CARE CLINIC

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Laboratory Demographics

CLIA Number: 32D2008639

Facility Name: ASAP PRIMARY CARE CLINIC

Facility Address:
2600 YALE SE
ALBUQUERQUE, NM
ZIP 87106
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Facility Phone Number: 505 994-7999

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1639479520

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	32D2008639
LAB Type	Community Clinic
Facility Name	ASAP PRIMARY CARE CLINIC
Street	2600 YALE SE
City	ALBUQUERQUE
State	NM
ZIP	87106
Phone	505 994-7999
CertificateType	4
CertificateEffectiveDate	11/24/2023
CertificateExpirationDate	11/23/2025
FacilityType	Waiver

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