32D2154615 CLIA NUMBER - SANDOVAL COUNTY DETENTION CENTER

Laboratory Demographics

CLIA Number: 32D2154615

Facility Name: SANDOVAL COUNTY DETENTION CENTER

Facility Address:
1100 MONTOYA ROAD
BERNALILLO, NM
ZIP 87004
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Facility Phone Number: 505 867-5339

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1063579506

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	32D2154615
LAB Type	Prison
Facility Name	SANDOVAL COUNTY DETENTION CENTER
Street	1100 MONTOYA ROAD
City	BERNALILLO
State	NM
ZIP	87004
Phone	505 867-5339
CertificateType	4
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024