32D2266511 CLIA NUMBER - GALLUP COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 32D2266511
  • Facility Name: GALLUP COMMUNITY HEALTH
  • Facility Address: 2111 COLLEGE DRIVE
    GALLUP, NM
    ZIP 87301
  • Facility Phone: 505 397-5172
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: VALORY E. WANGLER
  • NPI Number: 1336807254
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2266511
LAB Type Community Clinic
Facility Name GALLUP COMMUNITY HEALTH
Street 2111 COLLEGE DRIVE
City GALLUP
State NM
ZIP 87301
Phone 505 397-5172
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Community Clinic
Lab Director VALORY E. WANGLER

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