32D0987856 CLIA NUMBER - RATON VA COMMUNITY BASED CLINIC

Laboratory Demographics

  • CLIA Code: 32D0987856
  • Facility Name: RATON VA COMMUNITY BASED CLINIC
  • Facility Address: 1493 WHITTIER STREET
    RATON, NM
    ZIP 87740
  • Facility Phone: 505 445-2393
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: BRITTANY COFFMAN
  • NPI Number: 1407894546
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0987856
LAB Type Community Clinic
Facility Name RATON VA COMMUNITY BASED CLINIC
Street 1493 WHITTIER STREET
City RATON
State NM
ZIP 87740
Phone 505 445-2393
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/14/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director BRITTANY COFFMAN

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