32D2297251 CLIA NUMBER - SOUTHWEST MODERN MEDICINE

Laboratory Demographics

  • CLIA Code: 32D2297251
  • Facility Name: SOUTHWEST MODERN MEDICINE
  • Facility Address: 8300 CARMEL AVE NE, SUITE 303
    ALBUQUERQUE, NM
    ZIP 87122
  • Facility Phone: 303 653-8432
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EVA E. HOUGHTON
  • NPI Number: 1235883364
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2297251
LAB Type Practitioner Other
Facility Name SOUTHWEST MODERN MEDICINE
Street 8300 CARMEL AVE NE, SUITE 303
City ALBUQUERQUE
State NM
ZIP 87122
Phone 303 653-8432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Practitioner Other
Lab Director EVA E. HOUGHTON

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