32D1027995 CLIA NUMBER - ROSWELL CLINIC CORP DBA MESA MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 32D1027995
  • Facility Name: ROSWELL CLINIC CORP DBA MESA MEDICAL ASSOCIATES
  • Facility Address: 350 W COUNTRY CLUB ROAD SUITE 101
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 505 622-1841
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AUDREY VEGA
  • NPI Number: 1043423379
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 32D1027995
LAB Type Physician Office
Facility Name ROSWELL CLINIC CORP DBA MESA MEDICAL ASSOCIATES
Street 350 W COUNTRY CLUB ROAD SUITE 101
City ROSWELL
State NM
ZIP 88201
Phone 505 622-1841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director DR. AUDREY VEGA

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