32D1031515 CLIA NUMBER - ISD RENAL INC DBA LAS CRUCES RENAL CENTER

Laboratory Demographics

  • CLIA Code: 32D1031515
  • Facility Name: ISD RENAL INC DBA LAS CRUCES RENAL CENTER
  • Facility Address: 3961 EAST LOHMAN SUITE 29
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 532-9437
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. LUCIA T. CORRO
  • NPI Number: 1912952169
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D1031515
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISD RENAL INC DBA LAS CRUCES RENAL CENTER
Street 3961 EAST LOHMAN SUITE 29
City LAS CRUCES
State NM
ZIP 88011
Phone 575 532-9437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. LUCIA T. CORRO

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