32D0953270 CLIA NUMBER - RED ROCKS DIALYSIS LLC DBA U S RENAL CARE CROWNPOINT DIALYSIS

Laboratory Demographics

CLIA Number: 32D0953270

Facility Name: RED ROCKS DIALYSIS LLC DBA U S RENAL CARE CROWNPOINT DIALYSIS

Facility Address:
JUNCTION OF HWY 371 AND ROUTE 9
CROWNPOINT, NM
ZIP 87313
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Facility Phone Number: 505 786-5280

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1366693186

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D0953270
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RED ROCKS DIALYSIS LLC DBA U S RENAL CARE CROWNPOINT DIALYSIS
Street	JUNCTION OF HWY 371 AND ROUTE 9
City	CROWNPOINT
State	NM
ZIP	87313
Phone	505 786-5280
CertificateType	4
CertificateEffectiveDate	5/29/2023
CertificateExpirationDate	5/28/2025
FacilityType	Waiver

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