32D2275721 CLIA NUMBER - CIBOLA SPECIALTY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 32D2275721
  • Facility Name: CIBOLA SPECIALTY ASSOCIATES
  • Facility Address: 1208 BONITA AVE
    GRANTS, NM
    ZIP 87020
  • Facility Phone: 505 287-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNOLD W. VALDIVIA
  • NPI Number: 1003444647
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2275721
LAB Type Physician Office
Facility Name CIBOLA SPECIALTY ASSOCIATES
Street 1208 BONITA AVE
City GRANTS
State NM
ZIP 87020
Phone 505 287-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director ARNOLD W. VALDIVIA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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