32D2239459 CLIA NUMBER - ROBERT F KENNEDY CHARTER SCHOOL

Laboratory Demographics

CLIA Number: 32D2239459

Facility Name: ROBERT F KENNEDY CHARTER SCHOOL

Facility Address:
4300 BLAKE RD SW
ALBUQUERQUE, NM
ZIP 87121
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Facility Phone Number: 505 206-2296

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1013190610

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	32D2239459
LAB Type	School/Student Health Service
Facility Name	ROBERT F KENNEDY CHARTER SCHOOL
Street	4300 BLAKE RD SW
City	ALBUQUERQUE
State	NM
ZIP	87121
Phone	505 206-2296
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024