32D2067909 CLIA NUMBER - FARMINGTON MUNICIPAL SCHOOLS SCHOOL SUPPORT OFFICE

Laboratory Demographics

  • CLIA Code: 32D2067909
  • Facility Name: FARMINGTON MUNICIPAL SCHOOLS SCHOOL SUPPORT OFFICE
  • Facility Address: 3401 E 30TH STREET SUITE A
    FARMINGTON, NM
    ZIP 87402
  • Facility Phone: 505 599-8762
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: STACY A. CHANG
  • NPI Number: 1770536641
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2067909
LAB Type School/Student Health Service
Facility Name FARMINGTON MUNICIPAL SCHOOLS SCHOOL SUPPORT OFFICE
Street 3401 E 30TH STREET SUITE A
City FARMINGTON
State NM
ZIP 87402
Phone 505 599-8762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type School/Student Health Service
Lab Director STACY A. CHANG

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