32D2177495 CLIA NUMBER - PRESBYTERIAN HOSPITAL ASC LLC

Laboratory Demographics

  • CLIA Code: 32D2177495
  • Facility Name: PRESBYTERIAN HOSPITAL ASC LLC
  • Facility Address: 201 CEDAR ST SE SUITE 7650
    ALBUQUERQUE, NM
    ZIP 87106
  • Facility Phone: 505 317-9444
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL CASTILLO
  • NPI Number: 1104468602
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2177495
LAB Type Ambulatory Surgery Center
Facility Name PRESBYTERIAN HOSPITAL ASC LLC
Street 201 CEDAR ST SE SUITE 7650
City ALBUQUERQUE
State NM
ZIP 87106
Phone 505 317-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL CASTILLO

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