32D2148659 CLIA NUMBER - LOS ALAMOS FAMILY CARE

Laboratory Demographics

  • CLIA Code: 32D2148659
  • Facility Name: LOS ALAMOS FAMILY CARE
  • Facility Address: 3917 WEST ROAD SUITE 137
    LOS ALAMOS, NM
    ZIP 87544
  • Facility Phone: 505 661-9313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYA LESSEN
  • NPI Number: 1497878664
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2148659
LAB Type Physician Office
Facility Name LOS ALAMOS FAMILY CARE
Street 3917 WEST ROAD SUITE 137
City LOS ALAMOS
State NM
ZIP 87544
Phone 505 661-9313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director MAYA LESSEN

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