32D2056521 CLIA NUMBER - PHYSICIAN SURGERY CENTER OF ALBUQUERQUE

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Laboratory Demographics

CLIA Number: 32D2056521

Facility Name: PHYSICIAN SURGERY CENTER OF ALBUQUERQUE

Facility Address:
9551 PASEO DEL NORTE NE SUITE C
ALBUQUERQUE, NM
ZIP 87122
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Facility Phone Number: 505 639-4640

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1639456973

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2056521
LAB Type	Ambulatory Surgery Center
Facility Name	PHYSICIAN SURGERY CENTER OF ALBUQUERQUE
Street	9551 PASEO DEL NORTE NE SUITE C
City	ALBUQUERQUE
State	NM
ZIP	87122
Phone	505 639-4640
CertificateType	4
CertificateEffectiveDate	3/28/2023
CertificateExpirationDate	3/27/2025
FacilityType	Waiver

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