32D0896745 CLIA NUMBER - DIALYSIS CLINIC INC - TAOS

Laboratory Demographics

  • CLIA Code: 32D0896745
  • Facility Name: DIALYSIS CLINIC INC - TAOS
  • Facility Address: 1335 MAESTAS ROAD
    TAOS, NM
    ZIP 87571
  • Facility Phone: 505 751-4010
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PHILIP G. ZAGER
  • NPI Number: 1255364634
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PHILIP G. ZAGER

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