32D2153798 CLIA NUMBER - MY KIDNEY CARE LLC

Laboratory Demographics

  • CLIA Code: 32D2153798
  • Facility Name: MY KIDNEY CARE LLC
  • Facility Address: 301 S LAKE ST SUITE B
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: (505) 278-8572
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MANISH P. PANDYA
  • NPI Number: 1235611484
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2153798
LAB Type Physician Office
Facility Name MY KIDNEY CARE LLC
Street 301 S LAKE ST SUITE B
City FARMINGTON
State NM
ZIP 87401
Phone 5052788572
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director DR. MANISH P. PANDYA

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This page was last updated on: 5/18/2026