32D2324813 CLIA NUMBER - PRIME GROWTH CONSULTING LLC

Laboratory Demographics

  • CLIA Code: 32D2324813
  • Facility Name: PRIME GROWTH CONSULTING LLC
  • Facility Address: 500 4TH ST NW
    ALBUQUERQUE, NM
    ZIP 87102
  • Facility Phone: 229 667-5465
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TAHA JAVED
  • NPI Number: 1881481620
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 32D2324813
LAB Type Independent
Facility Name PRIME GROWTH CONSULTING LLC
Street 500 4TH ST NW
City ALBUQUERQUE
State NM
ZIP 87102
Phone 229 667-5465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Independent
Lab Director TAHA JAVED

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