32D2287357 CLIA NUMBER - CHAMPION FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 32D2287357
  • Facility Name: CHAMPION FAMILY MEDICINE
  • Facility Address: 2351 25TH STREET
    ALAMOGORDO, NM
    ZIP 88310
  • Facility Phone: 575 446-5815
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEANDRITA ORTEGA
  • NPI Number: 1316372352
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2287357
LAB Type Physician Office
Facility Name CHAMPION FAMILY MEDICINE
Street 2351 25TH STREET
City ALAMOGORDO
State NM
ZIP 88310
Phone 575 446-5815
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director LEANDRITA ORTEGA

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