32D2205024 CLIA NUMBER - SOAR WELLNESS

Laboratory Demographics

  • CLIA Code: 32D2205024
  • Facility Name: SOAR WELLNESS
  • Facility Address: 6855 4TH ST NW SUITE B2
    ALBUQUERQUE, NM
    ZIP 87107
  • Facility Phone: 505 514-5885
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE R. ABEYTA
  • NPI Number: 1295407773
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 32D2205024
LAB Type Practitioner Other
Facility Name SOAR WELLNESS
Street 6855 4TH ST NW SUITE B2
City ALBUQUERQUE
State NM
ZIP 87107
Phone 505 514-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Practitioner Other
Lab Director STEPHANIE R. ABEYTA

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