32D2307081 CLIA NUMBER - JAMES GONZALES CORPORATION LLC

Laboratory Demographics

  • CLIA Code: 32D2307081
  • Facility Name: JAMES GONZALES CORPORATION LLC
  • Facility Address: 12208 MIRANDY CT NE
    ALBUQUERQUE, NM
    ZIP 87122
  • Facility Phone: 505 554-4579
  • Facility Type: Other - HOME VISIT - TELEVISIT
  • Facility Type: Waiver
  • Lab Director: JAMES GONZALES
  • NPI Number: 1730507955
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2307081
LAB Type Other - HOME VISIT - TELEVISIT
Facility Name JAMES GONZALES CORPORATION LLC
Street 12208 MIRANDY CT NE
City ALBUQUERQUE
State NM
ZIP 87122
Phone 505 554-4579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - HOME VISIT - TELEVISIT
Lab Director JAMES GONZALES

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