32D1059749 CLIA NUMBER - COVENANT CLINICS

Laboratory Demographics

CLIA Number: 32D1059749

Facility Name: COVENANT CLINICS

Facility Address:
3961 E LOHMAN AVE SUITE 33
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 575 556-0200

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1093748170

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D1059749
LAB Type	Physician Office
Facility Name	COVENANT CLINICS
Street	3961 E LOHMAN AVE SUITE 33
City	LAS CRUCES
State	NM
ZIP	88011
Phone	575 556-0200
CertificateType	1
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024