32D2046526 CLIA NUMBER - JEFFREY S GRANT, MD PC

Laboratory Demographics

  • CLIA Code: 32D2046526
  • Facility Name: JEFFREY S GRANT, MD PC
  • Facility Address: 608 COMANCHE STREET
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 325-0072
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. GRANT
  • NPI Number: 1669500096
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 32D2046526
LAB Type Physician Office
Facility Name JEFFREY S GRANT, MD PC
Street 608 COMANCHE STREET
City FARMINGTON
State NM
ZIP 87401
Phone 505 325-0072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director JEFFREY S. GRANT

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