32D2316662 CLIA NUMBER - LISTO HEALTH LLC

Laboratory Demographics

  • CLIA Code: 32D2316662
  • Facility Name: LISTO HEALTH LLC
  • Facility Address: 5400 GIBSON BLVD SE
    ALBUQUERQUE, NM
    ZIP 87108
  • Facility Phone: 505 418-1777
  • Facility Type: Other - SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: ROBERTO L. AGUERO
  • NPI Number: 1437965415
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 32D2316662
LAB Type Other - SUD TREATMENT
Facility Name LISTO HEALTH LLC
Street 5400 GIBSON BLVD SE
City ALBUQUERQUE
State NM
ZIP 87108
Phone 505 418-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Other - SUD TREATMENT
Lab Director ROBERTO L. AGUERO

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