32D2161078 CLIA NUMBER - ONE FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 32D2161078
  • Facility Name: ONE FAMILY PRACTICE LLC
  • Facility Address: 3900 JUAN TABO BLVD NE
    ALBUQUERQUE, NM
    ZIP 87111
  • Facility Phone: 505 298-1010
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MIREYA BECERRA
  • NPI Number: 1134742240
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2161078
LAB Type Practitioner Other
Facility Name ONE FAMILY PRACTICE LLC
Street 3900 JUAN TABO BLVD NE
City ALBUQUERQUE
State NM
ZIP 87111
Phone 505 298-1010
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 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Practitioner Other
Lab Director MIREYA BECERRA

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