32D2140794 CLIA NUMBER - POE PSYCHIATRY PC

Laboratory Demographics

  • CLIA Code: 32D2140794
  • Facility Name: POE PSYCHIATRY PC
  • Facility Address: 234 N SCHWARTZ AVE
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 427-0401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYDNEY POE
  • NPI Number: 1558891184
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2140794
LAB Type Physician Office
Facility Name POE PSYCHIATRY PC
Street 234 N SCHWARTZ AVE
City FARMINGTON
State NM
ZIP 87401
Phone 505 427-0401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director SYDNEY POE

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