32D2305650 CLIA NUMBER - DESERT BLOOM HEALTH COLLABORATIVE

Laboratory Demographics

  • CLIA Code: 32D2305650
  • Facility Name: DESERT BLOOM HEALTH COLLABORATIVE
  • Facility Address: 6121 INDIAN SCHOOL RD NE STE 143
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 505 542-4970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PANDHI SHASHWAT
  • NPI Number: 1851147060
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 32D2305650
LAB Type Physician Office
Facility Name DESERT BLOOM HEALTH COLLABORATIVE
Street 6121 INDIAN SCHOOL RD NE STE 143
City ALBUQUERQUE
State NM
ZIP 87110
Phone 505 542-4970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director PANDHI SHASHWAT

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