32D2292133 CLIA NUMBER - BLUE SKY PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 32D2292133
  • Facility Name: BLUE SKY PSYCHIATRY
  • Facility Address: 4001 JUAN TABO BLVD NE SUITE D
    ALBUQUERQUE, NM
    ZIP 87111
  • Facility Phone: 505 738-6989
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STELA MIDDLETON
  • NPI Number: 1861274599
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2292133
LAB Type Practitioner Other
Facility Name BLUE SKY PSYCHIATRY
Street 4001 JUAN TABO BLVD NE SUITE D
City ALBUQUERQUE
State NM
ZIP 87111
Phone 505 738-6989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Practitioner Other
Lab Director STELA MIDDLETON

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