32D2323810 CLIA NUMBER - CENTENNIAL MEDICAL GROUP DBA CENTENIAL SPINE AND PAIN

Laboratory Demographics

  • CLIA Code: 32D2323810
  • Facility Name: CENTENNIAL MEDICAL GROUP DBA CENTENIAL SPINE AND PAIN
  • Facility Address: 7800 EAST CONSTITUTION AVENUE
    ALBUQUERQUE, NM
    ZIP 87110
  • Facility Phone: 702 839-1203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID R. LANZKOWSKY
  • NPI Number: 1598926677
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2323810
LAB Type Physician Office
Facility Name CENTENNIAL MEDICAL GROUP DBA CENTENIAL SPINE AND PAIN
Street 7800 EAST CONSTITUTION AVENUE
City ALBUQUERQUE
State NM
ZIP 87110
Phone 702 839-1203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director DAVID R. LANZKOWSKY

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