10D1016543 CLIA NUMBER - TAOS SURGICAL SPECIALTIES

Laboratory Demographics

  • CLIA Code: 10D1016543
  • Facility Name: TAOS SURGICAL SPECIALTIES
  • Facility Address: 1399 WEIMER RD STE 600
    TAOS, NM
    ZIP 87571
  • Facility Phone: 575 751-0334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN LUCERO
  • NPI Number: 1013115062
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1016543
LAB Type Physician Office
Facility Name TAOS SURGICAL SPECIALTIES
Street 1399 WEIMER RD STE 600
City TAOS
State NM
ZIP 87571
Phone 575 751-0334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. STEPHEN LUCERO

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