32D2125873 CLIA NUMBER - GALLUP MED FLIGHT

Laboratory Demographics

  • CLIA Code: 32D2125873
  • Facility Name: GALLUP MED FLIGHT
  • Facility Address: 2111 WEST HWY 66 TEMP SPACE 1
    GALLUP, NM
    ZIP 87301
  • Facility Phone: 505 863-4916
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JODINE SHELLY
  • NPI Number: 1154435238
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 32D2125873
LAB Type Ambulance
Facility Name GALLUP MED FLIGHT
Street 2111 WEST HWY 66 TEMP SPACE 1
City GALLUP
State NM
ZIP 87301
Phone 505 863-4916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Ambulance
Lab Director JODINE SHELLY

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