32D0987890 CLIA NUMBER - CLOVIS VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 32D0987890
  • Facility Name: CLOVIS VA OUTPATIENT CLINIC
  • Facility Address: 921 EAST LLANO ESTACADO
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 505 763-4335
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: ANTHONY BENDERMAN
  • NPI Number: 1245295112
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0987890
LAB Type Community Clinic
Facility Name CLOVIS VA OUTPATIENT CLINIC
Street 921 EAST LLANO ESTACADO
City CLOVIS
State NM
ZIP 88101
Phone 505 763-4335
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 6/15/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director ANTHONY BENDERMAN

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