32D2177486 CLIA NUMBER - DERMATOLOGY OF NEW MEXICO LLC

Laboratory Demographics

CLIA Number: 32D2177486

Facility Name: DERMATOLOGY OF NEW MEXICO LLC

Facility Address:
610 BROADWAY BLVD NE
ALBUQUERQUE, NM
ZIP 87102
Get Directions

Facility Phone Number: 505 225-2500

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1104468438

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	32D2177486
LAB Type	Physician Office
Facility Name	DERMATOLOGY OF NEW MEXICO LLC
Street	610 BROADWAY BLVD NE
City	ALBUQUERQUE
State	NM
ZIP	87102
Phone	505 225-2500
CertificateType	2
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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