32D2145853 CLIA NUMBER - DIALYSIS CLINIC INC - WEST

Laboratory Demographics

  • CLIA Code: 32D2145853
  • Facility Name: DIALYSIS CLINIC INC - WEST
  • Facility Address: 8121 CENTRAL AVE NW
    ALBUQUERQUE, NM
    ZIP 87121
  • Facility Phone: 505 836-8644
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN G. OWEN
  • NPI Number: 1710406301
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2145853
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC - WEST
Street 8121 CENTRAL AVE NW
City ALBUQUERQUE
State NM
ZIP 87121
Phone 505 836-8644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JONATHAN G. OWEN

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