32D2286376 CLIA NUMBER - NORTHERN CLINICAL LABORATORY, TRICORE INC

Laboratory Demographics

  • CLIA Code: 32D2286376
  • Facility Name: NORTHERN CLINICAL LABORATORY, TRICORE INC
  • Facility Address: 4200 BECKNER RD
    SANTA FE, NM
    ZIP 87507
  • Facility Phone: 505 938-8888
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ELIZABETH DONOVAN
  • NPI Number: 1245387158
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 32D2286376
LAB Type Independent
Facility Name NORTHERN CLINICAL LABORATORY, TRICORE INC
Street 4200 BECKNER RD
City SANTA FE
State NM
ZIP 87507
Phone 505 938-8888
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Independent
Lab Director DR. ELIZABETH DONOVAN

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