32D2162360 CLIA NUMBER - ABQ HEALTHCARE 2 YOU LLC

Laboratory Demographics

CLIA Number: 32D2162360

Facility Name: ABQ HEALTHCARE 2 YOU LLC

Facility Address:
8609 HAMPTON AVE NE
ALBUQUERQUE, NM
ZIP 87122
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Facility Phone Number: 505 553-8902

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1619451994

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2162360
LAB Type	Practitioner Other
Facility Name	ABQ HEALTHCARE 2 YOU LLC
Street	8609 HAMPTON AVE NE
City	ALBUQUERQUE
State	NM
ZIP	87122
Phone	505 553-8902
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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