32D2012775 CLIA NUMBER - FULL BLOOM PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 32D2012775
  • Facility Name: FULL BLOOM PEDIATRICS LLC
  • Facility Address: 4181 CAMINO COYOTE
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: (575) 532-6006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CYNTHIA R. SETTLES
  • NPI Number: 1982997425
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 32D2012775
LAB Type Physician Office
Facility Name FULL BLOOM PEDIATRICS LLC
Street 4181 CAMINO COYOTE
City LAS CRUCES
State NM
ZIP 88011
Phone 5755326006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director DR. CYNTHIA R. SETTLES

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This page was last updated on: 5/18/2026