32D2268192 CLIA NUMBER - CHARTER HEALTHCARE OF ALBUQUERQUE, LLC

Laboratory Demographics

CLIA Number: 32D2268192

Facility Name: CHARTER HEALTHCARE OF ALBUQUERQUE, LLC

Facility Address:
6121 INDIAN SCHOOL RD NE, SUITE 143
ALBUQUERQUE, NM
ZIP 87110
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Facility Phone Number: 505 286-4219

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1548633563

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	32D2268192
LAB Type	Hospice
Facility Name	CHARTER HEALTHCARE OF ALBUQUERQUE, LLC
Street	6121 INDIAN SCHOOL RD NE, SUITE 143
City	ALBUQUERQUE
State	NM
ZIP	87110
Phone	505 286-4219
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024