32D2287412 CLIA NUMBER - JAMES R TRYON MD PC

Laboratory Demographics

  • CLIA Code: 32D2287412
  • Facility Name: JAMES R TRYON MD PC
  • Facility Address: 4105 MONTGOMERY BLVD NE
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 737-9411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMEE RODRIGUEZ
  • NPI Number: 1023174620
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2287412
LAB Type Physician Office
Facility Name JAMES R TRYON MD PC
Street 4105 MONTGOMERY BLVD NE
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 737-9411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director EDMEE RODRIGUEZ

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