32D2210642 CLIA NUMBER - BEEWELL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 32D2210642
  • Facility Name: BEEWELL MEDICAL CENTER
  • Facility Address: 8010 MOUNTAIN RD NE SUITE 300
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 554-2681
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KONTASHA S. WISE
  • NPI Number: 1033706924
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2210642
LAB Type Practitioner Other
Facility Name BEEWELL MEDICAL CENTER
Street 8010 MOUNTAIN RD NE SUITE 300
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 554-2681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Practitioner Other
Lab Director KONTASHA S. WISE

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