32D0869328 CLIA NUMBER - BASIN HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 32D0869328
  • Facility Name: BASIN HOME HEALTH INC
  • Facility Address: 200 NORTH ORCHARD AVENUE
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 325-8231
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VINCE MOFFITT
  • NPI Number: 1013910348
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 32D0869328
LAB Type Home Health Agency
Facility Name BASIN HOME HEALTH INC
Street 200 NORTH ORCHARD AVENUE
City FARMINGTON
State NM
ZIP 87401
Phone 505 325-8231
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 VINCE MOFFITT

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