32D1064411 CLIA NUMBER - TIGER DEN WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 32D1064411
  • Facility Name: TIGER DEN WELLNESS CENTER
  • Facility Address: 1535 TIGER CIRCLE
    RATON, NM
    ZIP 87740
  • Facility Phone: 575 445-8641
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MARK H. BAYLISS
  • NPI Number: 1962730010
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D1064411
LAB Type School/Student Health Service
Facility Name TIGER DEN WELLNESS CENTER
Street 1535 TIGER CIRCLE
City RATON
State NM
ZIP 87740
Phone 575 445-8641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type School/Student Health Service
Lab Director MARK H. BAYLISS

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