32D2080953 CLIA NUMBER - SJHP UROLOGY

Laboratory Demographics

  • CLIA Code: 32D2080953
  • Facility Name: SJHP UROLOGY
  • Facility Address: 2700 FARMINGTON AVE BUILDING E SUITE 1
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 609-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL MANNAS

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CLIA Record

Field Name Field Value
CLIA Number 32D2080953
LAB Type Physician Office
Facility Name SJHP UROLOGY
Street 2700 FARMINGTON AVE BUILDING E SUITE 1
City FARMINGTON
State NM
ZIP 87401
Phone 505 609-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director DANIEL MANNAS

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