32D2288184 CLIA NUMBER - DUKE CITY PRIMARY CARE

Laboratory Demographics

CLIA Number: 32D2288184

Facility Name: DUKE CITY PRIMARY CARE

Facility Address:
7200 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109
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Facility Phone Number: 505 288-0734

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245994797

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2288184
LAB Type	Physician Office
Facility Name	DUKE CITY PRIMARY CARE
Street	7200 MONTGOMERY BLVD NE
City	ALBUQUERQUE
State	NM
ZIP	87109
Phone	505 288-0734
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024