32D2243578 CLIA NUMBER - MOUNTAIN VIEW FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 32D2243578
  • Facility Name: MOUNTAIN VIEW FAMILY MEDICINE
  • Facility Address: 4600 MONTGOMERY BLVD NE SUITE D201
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 884-0079
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. TOTTER
  • NPI Number: 1134790462
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2243578
LAB Type Practitioner Other
Facility Name MOUNTAIN VIEW FAMILY MEDICINE
Street 4600 MONTGOMERY BLVD NE SUITE D201
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 884-0079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Practitioner Other
Lab Director MATTHEW D. TOTTER

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This page was last updated on: 6/4/2025