32D0537243 CLIA NUMBER - HMS-MED SQUARE

Laboratory Demographics

  • CLIA Code: 32D0537243
  • Facility Name: HMS-MED SQUARE
  • Facility Address: 114 W 11TH STREET
    SILVER CITY, NM
    ZIP 88061
  • Facility Phone: 575 597-2759
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JOHN ANDAZOLA
  • NPI Number: 1265425425
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0537243
LAB Type Community Clinic
Facility Name HMS-MED SQUARE
Street 114 W 11TH STREET
City SILVER CITY
State NM
ZIP 88061
Phone 575 597-2759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Community Clinic
Lab Director DR. JOHN ANDAZOLA

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