32D0896745 CLIA NUMBER - DIALYSIS CLINIC INC - TAOS

Laboratory Demographics

CLIA Number: 32D0896745

Facility Name: DIALYSIS CLINIC INC - TAOS

Facility Address:
1335 MAESTAS ROAD
TAOS, NM
ZIP 87571
Get Directions

Facility Phone Number: 505 751-4010

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1255364634

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D0896745
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC INC - TAOS
Street	1335 MAESTAS ROAD
City	TAOS
State	NM
ZIP	87571
Phone	505 751-4010
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024