32D2271386 CLIA NUMBER - ICARUS BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 32D2271386
  • Facility Name: ICARUS BEHAVIORAL HEALTH
  • Facility Address: 2501 MONTERREY RD NE
    RIO RANCHO, NM
    ZIP 87144
  • Facility Phone: 602 367-9807
  • Facility Type: Other - BEHAVIORAL HEALTH INPATIE
  • Facility Type: Waiver
  • Lab Director: JEREMY JALOWIEC
  • NPI Number: 1023761673
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D2271386
LAB Type Other - BEHAVIORAL HEALTH INPATIE
Facility Name ICARUS BEHAVIORAL HEALTH
Street 2501 MONTERREY RD NE
City RIO RANCHO
State NM
ZIP 87144
Phone 602 367-9807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Other - BEHAVIORAL HEALTH INPATIE
Lab Director JEREMY JALOWIEC

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