32D1016657 CLIA NUMBER - LACI O'HARE DBA CLOVIS FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 32D1016657
  • Facility Name: LACI O'HARE DBA CLOVIS FAMILY HEALTHCARE
  • Facility Address: 2301 N MARTIN LUTHER KING BLVD
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 762-4455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LACI OHARE
  • NPI Number: 1841861697
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D1016657
LAB Type Physician Office
Facility Name LACI O'HARE DBA CLOVIS FAMILY HEALTHCARE
Street 2301 N MARTIN LUTHER KING BLVD
City CLOVIS
State NM
ZIP 88101
Phone 575 762-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director LACI OHARE

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