32D2109164 CLIA NUMBER - SHADOW MOUNTAIN RECOVERY ALBUQUERQUE

Laboratory Demographics

  • CLIA Code: 32D2109164
  • Facility Name: SHADOW MOUNTAIN RECOVERY ALBUQUERQUE
  • Facility Address: 1550 BRIDGER ROAD NE
    RIO RANCHO, NM
    ZIP 87144
  • Facility Phone: 800 203-8249
  • Facility Type: Other - BEHAVIORAL HEALTH FAC
  • Facility Type: Waiver
  • Lab Director: LEA HARRISON
  • NPI Number: 1952973505
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D2109164
LAB Type Other - BEHAVIORAL HEALTH FAC
Facility Name SHADOW MOUNTAIN RECOVERY ALBUQUERQUE
Street 1550 BRIDGER ROAD NE
City RIO RANCHO
State NM
ZIP 87144
Phone 800 203-8249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Other - BEHAVIORAL HEALTH FAC
Lab Director LEA HARRISON

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