32D2243919 CLIA NUMBER - CENIKOR

Laboratory Demographics

  • CLIA Code: 32D2243919
  • Facility Name: CENIKOR
  • Facility Address: 1313 MISSION AVENUE
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 928 592-2157
  • Facility Type: Other - ADULT RESIDENTIAL S/A CTR
  • Facility Type: Waiver
  • Lab Director: MELISSA REUBEN
  • NPI Number: 1669539656
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D2243919
LAB Type Other - ADULT RESIDENTIAL S/A CTR
Facility Name CENIKOR
Street 1313 MISSION AVENUE
City FARMINGTON
State NM
ZIP 87401
Phone 928 592-2157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other - ADULT RESIDENTIAL S/A CTR
Lab Director MELISSA REUBEN

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