32D2303009 CLIA NUMBER - NEW MEXICO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 32D2303009
  • Facility Name: NEW MEXICO FAMILY MEDICINE
  • Facility Address: 2005-A US RT 66
    MORIARTY, NM
    ZIP 87035
  • Facility Phone: 505 492-2541
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE NEUFELD
  • NPI Number: 1528074390
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2303009
LAB Type Practitioner Other
Facility Name NEW MEXICO FAMILY MEDICINE
Street 2005-A US RT 66
City MORIARTY
State NM
ZIP 87035
Phone 505 492-2541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Practitioner Other
Lab Director STEPHANIE NEUFELD

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