32D0920589 CLIA NUMBER - SUNRISE CLINICS

Laboratory Demographics

  • CLIA Code: 32D0920589
  • Facility Name: SUNRISE CLINICS
  • Facility Address: 117 CAMINO DE VIDA, SUITE 300
    SANTA ROSA, NM
    ZIP 88435
  • Facility Phone: 575 472-4311
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. RANDAL W. BROWN
  • NPI Number: 1164055927
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0920589
LAB Type Federally Qualified Health Center
Facility Name SUNRISE CLINICS
Street 117 CAMINO DE VIDA, SUITE 300
City SANTA ROSA
State NM
ZIP 88435
Phone 575 472-4311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Federally Qualified Health Center
Lab Director DR. RANDAL W. BROWN

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