32D2275427 CLIA NUMBER - G&L MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 32D2275427
  • Facility Name: G&L MEDICAL LLC
  • Facility Address: 401 BOTULPH LN
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 983-8387
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY FERNANDEZ
  • NPI Number: 1578276515
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2275427
LAB Type Physician Office
Facility Name G&L MEDICAL LLC
Street 401 BOTULPH LN
City SANTA FE
State NM
ZIP 87505
Phone 505 983-8387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director GREGORY FERNANDEZ

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