32D0653267 CLIA NUMBER - MOUNTAIN HOME HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 32D0653267
  • Facility Name: MOUNTAIN HOME HEALTH CARE INC
  • Facility Address: 630 PASEO DEL PUEBLO SUR SUITE 180
    TAOS, NM
    ZIP 87571
  • Facility Phone: 575 758-4786
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GREG JOHNSON
  • NPI Number: 1275547044
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D0653267
LAB Type Home Health Agency
Facility Name MOUNTAIN HOME HEALTH CARE INC
Street 630 PASEO DEL PUEBLO SUR SUITE 180
City TAOS
State NM
ZIP 87571
Phone 575 758-4786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director GREG JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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