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SAN JUAN COLLEGE
NPI 1427869569
Clinic/Center - Health Service in Farmington, NM

Active since January 17, 2025CLIA Certified · 2 labs
4601 COLLEGE BLVD, FARMINGTON, NM 87402(505) 566-4255(505) 566-3770 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About San Juan College NPPES

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

SAN JUAN COLLEGE (NPI 1427869569) is a healthcare organization registered as a health service in Farmington, New Mexico and active in the NPI registry since January 2025. The organization holds 2 active CLIA laboratory certificates and lists Charisse Buchanan, Health Center Director, as its authorized official.

NPPES Registry Identity

NPI1427869569
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSAN JUAN COLLEGE
Location Address4601 COLLEGE BLVDFarmington, NM 87402-4699
Mailing Address4601 College BlvdFarmington, NM 87402-4699 · (505) 566-4255
Phone(505) 566-4255
Fax(505) 566-3770
Organization SubpartNo
Authorized OfficialCharisse BuchananHealth Center Director · (505) 566-3313
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1427869569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4601 COLLEGE BLVD, Farmington, NM 87402
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CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 32D2280699

San Juan College Student Health Center · Farmington, NM
Active · expires Apr 24, 2027
CLIA Number32D2280699
Laboratory TypeSchool/Student Health Service
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorCharisse Buchanan
Laboratory Phone(505) 566-4255
Laboratory LocationSan Juan College Student Health Center4601 College Blvd, Farmington, NM 87402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 32D2136131

San Juan College Dental Hygiene Program · Farmington, NM
Active · expires Sep 4, 2027
CLIA Number32D2136131
Laboratory TypeDental Clinic
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorDr. Julius N. Manz
Laboratory Phone(505) 566-3018
Laboratory LocationSan Juan College Dental Hygiene Program4601 College Blvd, Farmington, NM 87402
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

NICOLE K DEHERRERA LISW
Social Worker (Clinical)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3846
CHARISSE BUCHANAN AG-NP-C
Nurse Practitioner (Adult Health)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-4255
SAN JUAN COLLEGE
Community/Behavioral Health
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3846
SAN JUAN COLLEGE
Clinic/Center (Dental)
4601 COLLEGE BLVD, DENTAL CLINIC
FARMINGTON, NM 87402
San Juan County (505) 566-3126
TERESA L BIGELOW SPTA
Physical Therapy Assistant
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 566-3198
DR. JULIUS NICHOLAS MANZ DDS
Dentist (General Practice)
4601 COLLEGE BLVD
FARMINGTON, NM 87402
San Juan County (505) 325-4475

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 San Juan College's NPI number?

The NPI number for San Juan College is 1427869569. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is San Juan College located?

San Juan College is located at 4601 College Blvd, Farmington, NM 87402. The listed phone number is (505) 566-4255.

What is San Juan College's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does San Juan College hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Juan College was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.