32D2317101 CLIA NUMBER - ABQ MOBILE LAB SERVICES LLC

Laboratory Demographics

  • CLIA Code: 32D2317101
  • Facility Name: ABQ MOBILE LAB SERVICES LLC
  • Facility Address: 6114 ALVIS CIR SW
    ALBUQUERQUE, NM
    ZIP 87105
  • Facility Phone: 505 227-4322
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BRIANDA OCANA
  • NPI Number: 1568284404
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 32D2317101
LAB Type Mobile Laboratory
Facility Name ABQ MOBILE LAB SERVICES LLC
Street 6114 ALVIS CIR SW
City ALBUQUERQUE
State NM
ZIP 87105
Phone 505 227-4322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Mobile Laboratory
Lab Director BRIANDA OCANA

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