32D2180352 CLIA NUMBER - LAGOM HEALTH LLC

Laboratory Demographics

  • CLIA Code: 32D2180352
  • Facility Name: LAGOM HEALTH LLC
  • Facility Address: 4600 JEFFERSON LN NE UNIT D
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 433-7745
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HEATHER BRISLEN
  • NPI Number: 1174975791
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2180352
LAB Type Physician Office
Facility Name LAGOM HEALTH LLC
Street 4600 JEFFERSON LN NE UNIT D
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 433-7745
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DR. HEATHER BRISLEN

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