| Record ID | Collection Site Code | Title | Address 1 | Address 2 | City | County | State | ZIP Code | Phone Number | Fax Number | Blood Alc Collection | NIDA Collection | SAP Collection | Observed Collection | Breath Alcohol Collection | Hair Collection | Oral Fluid Collection | Oral Fluid POCT Collection | BFW | Urine POCT Collection | BFW w/Biometrics | Electronic CCF | Regulated Electronic CCF | HRS Electronic CCF flag | Appointment Scheduling | Hours of Operation | Site Type | eBreath Alcohol |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 24960 | NM124 | ARNOLD VALDIVIA, MD | 1208 BONITA AVENUE | GRANTS | NM | 87020 | 5052874474 | 5052873483 | N | Y | Y | Y | N | N | N | N | N | N | N | N | N | N | N | M,T,Th,F 8:30 am-5:00 pm|W 8:30 am-12:00 pm; Drug Screen: M,T,Th,F 8:30 am-5:00 pm|W 8:30 am-12:00 pm | Third Party | N |
