LAS VEGAS VA CBOC
NPI 1053353102
Clinic/Center - VA in Las Vegas, NM

Active since June 12, 2006CLIA 32D2019117 · Waiver
624 UNIVERSITY AVE, LAS VEGAS, NM 87701(702) 341-3152 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2017, Feb 10, 2017 (2 updates tracked since 2017).

About Las Vegas Va Cboc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS VA CBOC (NPI 1053353102) is a healthcare organization registered as a va in Las Vegas, New Mexico and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1053353102
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameALBUQUERQUE VAMC
Location Address624 UNIVERSITY AVELas Vegas, NM 87701-4278
Mailing AddressPo Box 89495Cleveland, OH 44101-6495 · (702) 341-3152
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 31, 20172 updates tracked since enumeration
NPI 1053353102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
624 UNIVERSITY AVE, Las Vegas, NM 87701

Other Names 1

Other NameLas Vegas Va Cboc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2019117

Las Vegas VA Clinic · Las Vegas, NM
Active · expires Jan 23, 2027
CLIA Number32D2019117
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorFranklin Mcdonald
Laboratory Phone(469) 634-1800
Laboratory LocationLas Vegas VA Clinic624 University Avenue, Las Vegas, NM 87701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
624 UNIVERSITY AVE, STE 100
LAS VEGAS, NM 87701
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
624 UNIVERSITY AVE, SUITE 500
LAS VEGAS, NM 87701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albuquerque Vamc's NPI number?

The NPI number for Albuquerque Vamc is 1053353102. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is also known as Las Vegas VA Cboc.

Where is Albuquerque Vamc located?

Albuquerque Vamc is located at 624 University Ave, Las Vegas, NM 87701. The listed phone number is (702) 341-3152.

What is Albuquerque Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Albuquerque Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2019117) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Albuquerque Vamc was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.