32D2304904 CLIA NUMBER - ROCKY MOUNTAIN CLINICS - ALBUQUERQUE

Laboratory Demographics

  • CLIA Code: 32D2304904
  • Facility Name: ROCKY MOUNTAIN CLINICS - ALBUQUERQUE
  • Facility Address: 717 ENCINO PLACE, NE, SUITE 12
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: (866) 628-7828
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK S. MCCOY
  • NPI Number: 1477261154
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2304904
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN CLINICS - ALBUQUERQUE
Street 717 ENCINO PLACE, NE, SUITE 12
City ALBUQUERQUE
State NM
ZIP 87102
Phone 8666287828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2026
Certificate Expiration Date 5/20/2028
Facility Type Physician Office
Lab Director CLARK S. MCCOY

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This page was last updated on: 5/18/2026