32D2094255 CLIA NUMBER - RECOVERY SERVICES OF NEW MEXICO, LLC RECOVERY SERVICES OF NEW MEXICO 5 POINTS

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Laboratory Demographics

CLIA Number: 32D2094255

Facility Name: RECOVERY SERVICES OF NEW MEXICO, LLC RECOVERY SERVICES OF NEW MEXICO 5 POINTS

Facility Address:
1528 FIVE POINTS SW
ALBUQUERQUE, NM
ZIP 87105
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Facility Phone Number: 505 242-6919

Facility Type: Other - TREATMENT PROGRAM

Certificate Type: Waiver

NPI Number: 1962634329

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	32D2094255
LAB Type	Other - TREATMENT PROGRAM
Facility Name	RECOVERY SERVICES OF NEW MEXICO, LLC RECOVERY SERVICES OF NEW MEXICO 5 POINTS
Street	1528 FIVE POINTS SW
City	ALBUQUERQUE
State	NM
ZIP	87105
Phone	505 242-6919
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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