32D2273005 CLIA NUMBER - G & M URGENT CARE

Laboratory Demographics

CLIA Number: 32D2273005

Facility Name: G & M URGENT CARE

Facility Address:
1316 JACKIE ROAD SUITE 400
RIO RANCHO, NM
ZIP 87124
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Facility Phone Number: 505 280-4500

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1144966136

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2273005
LAB Type	Practitioner Other
Facility Name	G & M URGENT CARE
Street	1316 JACKIE ROAD SUITE 400
City	RIO RANCHO
State	NM
ZIP	87124
Phone	505 280-4500
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

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