32D2109380 CLIA NUMBER - ALBUQUERQUE INDIAN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 32D2109380
  • Facility Name: ALBUQUERQUE INDIAN HEALTH CENTER
  • Facility Address: 801 VASSAR DRIVE NE
    ALBUQUERQUE, NM
    ZIP 87106
  • Facility Phone: 505 248-4029
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. CASEY R. SMITH
  • NPI Number: 1427467547
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 32D2109380
LAB Type Federally Qualified Health Center
Facility Name ALBUQUERQUE INDIAN HEALTH CENTER
Street 801 VASSAR DRIVE NE
City ALBUQUERQUE
State NM
ZIP 87106
Phone 505 248-4029
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Federally Qualified Health Center
Lab Director DR. CASEY R. SMITH

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