32D2238566 CLIA NUMBER - BACA COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 32D2238566
  • Facility Name: BACA COMMUNITY HEALTH
  • Facility Address: 2921 CARLISLE BLVD NE SUITE 125
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 573-2666
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SUZETTE G. BACA
  • NPI Number: 1245995315
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2238566
LAB Type Community Clinic
Facility Name BACA COMMUNITY HEALTH
Street 2921 CARLISLE BLVD NE SUITE 125
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 573-2666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Community Clinic
Lab Director SUZETTE G. BACA

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