32D2016118 CLIA NUMBER - MANZANO MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 32D2016118
  • Facility Name: MANZANO MEDICAL GROUP
  • Facility Address: 505 ELM STREET NE
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 505 727-4919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN H. SLOAN
  • NPI Number: 1881704096
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 32D2016118
LAB Type Physician Office
Facility Name MANZANO MEDICAL GROUP
Street 505 ELM STREET NE
City ALBUQUERQUE
State NM
ZIP 87102
Phone 505 727-4919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director JOHN H. SLOAN

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