32D0979573 CLIA NUMBER - ST VINCENT HOSPITAL ANTICOAGULATION

Laboratory Demographics

  • CLIA Code: 32D0979573
  • Facility Name: ST VINCENT HOSPITAL ANTICOAGULATION
  • Facility Address: 465 ST MICHAELS DRIVE SUITE 114
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 913-5287
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL KOVNAT
  • NPI Number: 1881711877
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D0979573
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST VINCENT HOSPITAL ANTICOAGULATION
Street 465 ST MICHAELS DRIVE SUITE 114
City SANTA FE
State NM
ZIP 87505
Phone 505 913-5287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. DANIEL KOVNAT

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