32D2316388 CLIA NUMBER - PINON PERINATAL - MASTHEAD

Laboratory Demographics

  • CLIA Code: 32D2316388
  • Facility Name: PINON PERINATAL - MASTHEAD
  • Facility Address: 3864 MASTHEAD ST NE E2
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 219-4824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA M. APODACA
  • NPI Number: 1093829210
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 32D2316388
LAB Type Physician Office
Facility Name PINON PERINATAL - MASTHEAD
Street 3864 MASTHEAD ST NE E2
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 219-4824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director PAULA M. APODACA

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