32D2287428 CLIA NUMBER - TWILIGHT PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 32D2287428
  • Facility Name: TWILIGHT PHYSICIAN GROUP
  • Facility Address: 4273 MONTGOMERY BLVD NE SUIT 110
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 532-1020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA VILLEGAS
  • NPI Number: 1194422832
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2287428
LAB Type Physician Office
Facility Name TWILIGHT PHYSICIAN GROUP
Street 4273 MONTGOMERY BLVD NE SUIT 110
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 532-1020
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 DIANA VILLEGAS

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