32D1085015 CLIA NUMBER - SAN JON SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 32D1085015
  • Facility Name: SAN JON SCHOOL BASED HEALTH CENTER
  • Facility Address: 7TH AND ELM
    SAN JON, NM
    ZIP 88434
  • Facility Phone: 575 576-2273
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CINDY WILCOX
  • NPI Number: 1144575044
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 32D1085015
LAB Type School/Student Health Service
Facility Name SAN JON SCHOOL BASED HEALTH CENTER
Street 7TH AND ELM
City SAN JON
State NM
ZIP 88434
Phone 575 576-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type School/Student Health Service
Lab Director CINDY WILCOX

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