32D2179728 CLIA NUMBER - SHADOW MOUNTAIN RECOVERY

Laboratory Demographics

  • CLIA Code: 32D2179728
  • Facility Name: SHADOW MOUNTAIN RECOVERY
  • Facility Address: 7005 PROSPECT PLACE NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 361-2634
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: LEA HARRISON
  • NPI Number: 1487226031
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2179728
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name SHADOW MOUNTAIN RECOVERY
Street 7005 PROSPECT PLACE NE
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 361-2634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director LEA HARRISON

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