32D2033412 CLIA NUMBER - CONCENTRA - CITY OF ALBUQUERQUE EHC

Laboratory Demographics

  • CLIA Code: 32D2033412
  • Facility Name: CONCENTRA - CITY OF ALBUQUERQUE EHC
  • Facility Address: 400 MARQUETTE NW B#06
    ALBUQUERQUE, NM
    ZIP 87103
  • Facility Phone: 505 768-4630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLA RUDOLPH
  • NPI Number: 1093075277
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2033412
LAB Type Physician Office
Facility Name CONCENTRA - CITY OF ALBUQUERQUE EHC
Street 400 MARQUETTE NW B#06
City ALBUQUERQUE
State NM
ZIP 87103
Phone 505 768-4630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director CARLA RUDOLPH

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This page was last updated on: 6/4/2025