32D1016435 CLIA NUMBER - MESCALERO CARE CENTER

Laboratory Demographics

  • CLIA Code: 32D1016435
  • Facility Name: MESCALERO CARE CENTER
  • Facility Address: 454 LIPPAN AVE
    MESCALERO, NM
    ZIP 88340
  • Facility Phone: 575 464-4802
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE VENETTA
  • NPI Number: 1609816206
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D1016435
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MESCALERO CARE CENTER
Street 454 LIPPAN AVE
City MESCALERO
State NM
ZIP 88340
Phone 575 464-4802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEBBIE VENETTA

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