32D0954294 CLIA NUMBER - KIM P LARK DO

Laboratory Demographics

  • CLIA Code: 32D0954294
  • Facility Name: KIM P LARK DO
  • Facility Address: 2402 W PIERCE STE 4A
    CARLSBAD, NM
    ZIP 88220
  • Facility Phone: 505 234-9964
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM P. LARK DO
  • NPI Number: 1720275357
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D0954294
LAB Type Physician Office
Facility Name KIM P LARK DO
Street 2402 W PIERCE STE 4A
City CARLSBAD
State NM
ZIP 88220
Phone 505 234-9964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director KIM P. LARK DO

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