32D0969995 CLIA NUMBER - SACRAMENTO MOUNTAIN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 32D0969995
  • Facility Name: SACRAMENTO MOUNTAIN MEDICAL CENTER
  • Facility Address: 74 JAMES CANYON HIGHWAY
    CLOUDCROFT, NM
    ZIP 88317
  • Facility Phone: 575 682-2542
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SYLVIA MONTOYA
  • NPI Number: 1326115338
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0969995
LAB Type Federally Qualified Health Center
Facility Name SACRAMENTO MOUNTAIN MEDICAL CENTER
Street 74 JAMES CANYON HIGHWAY
City CLOUDCROFT
State NM
ZIP 88317
Phone 575 682-2542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Federally Qualified Health Center
Lab Director SYLVIA MONTOYA

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