32D2178327 CLIA NUMBER - ORTEGA WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 32D2178327
  • Facility Name: ORTEGA WELLNESS LLC
  • Facility Address: 7007 JEFFERSON ST NE UNIT 3
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 350-0406
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MONICA E. ORTEGA
  • NPI Number: 1013464379
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2178327
LAB Type Practitioner Other
Facility Name ORTEGA WELLNESS LLC
Street 7007 JEFFERSON ST NE UNIT 3
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 350-0406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Practitioner Other
Lab Director MONICA E. ORTEGA

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