32D0939741 CLIA NUMBER - HMS COBRE HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 32D0939741
  • Facility Name: HMS COBRE HEALTH CLINIC
  • Facility Address: 1107 TOM FOY BLVD
    BAYARD, NM
    ZIP 88023
  • Facility Phone: 575 597-2759
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN ANDAZOLA
  • NPI Number: 1073506911
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0939741
LAB Type Federally Qualified Health Center
Facility Name HMS COBRE HEALTH CLINIC
Street 1107 TOM FOY BLVD
City BAYARD
State NM
ZIP 88023
Phone 575 597-2759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Federally Qualified Health Center
Lab Director DR. JOHN ANDAZOLA

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