32D2013264 CLIA NUMBER - ROMERO FAMILY MEDICINE LLC

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Laboratory Demographics

CLIA Number: 32D2013264

Facility Name: ROMERO FAMILY MEDICINE LLC

Facility Address:
4600 JEFFERSON LANE NE SUITE A
ALBUQUERQUE, NM
ZIP 87109
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Facility Phone Number: 505 881-1229

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1902112956

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	32D2013264
LAB Type	Physician Office
Facility Name	ROMERO FAMILY MEDICINE LLC
Street	4600 JEFFERSON LANE NE SUITE A
City	ALBUQUERQUE
State	NM
ZIP	87109
Phone	505 881-1229
CertificateType	3
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	PPMP

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