32D2266669 CLIA NUMBER - GM MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 32D2266669
  • Facility Name: GM MEDICAL CENTER
  • Facility Address: 1316 JACKIE RD SUITE 500
    RIO RANCHO, NM
    ZIP 87124
  • Facility Phone: 505 415-0719
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK R. EDWARDS

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CLIA Record

Field Name Field Value
CLIA Number 32D2266669
LAB Type Physician Office
Facility Name GM MEDICAL CENTER
Street 1316 JACKIE RD SUITE 500
City RIO RANCHO
State NM
ZIP 87124
Phone 505 415-0719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director MARK R. EDWARDS

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