32D2166141 CLIA NUMBER - MEDERI LIFE LLC

Laboratory Demographics

  • CLIA Code: 32D2166141
  • Facility Name: MEDERI LIFE LLC
  • Facility Address: 6200 COORS BLVD NW STE A8
    ALBUQUERQUE, NM
    ZIP 87120
  • Facility Phone: 505 433-4007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICK CARDENAS
  • NPI Number: 1649834904
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2166141
LAB Type Physician Office
Facility Name MEDERI LIFE LLC
Street 6200 COORS BLVD NW STE A8
City ALBUQUERQUE
State NM
ZIP 87120
Phone 505 433-4007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. RICK CARDENAS

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