32D2251240 CLIA NUMBER - REFORM ABQ, LLC

Laboratory Demographics

  • CLIA Code: 32D2251240
  • Facility Name: REFORM ABQ, LLC
  • Facility Address: 200 OAK ST NE SUITE 7
    ALBUQUERQUE, NM
    ZIP 87106
  • Facility Phone: 505 420-6979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODGERS JACQUELINE
  • NPI Number: 1629803192
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2251240
LAB Type Physician Office
Facility Name REFORM ABQ, LLC
Street 200 OAK ST NE SUITE 7
City ALBUQUERQUE
State NM
ZIP 87106
Phone 505 420-6979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director RODGERS JACQUELINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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