32D2033788 CLIA NUMBER - MEADOW CITY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 32D2033788
  • Facility Name: MEADOW CITY FAMILY CLINIC
  • Facility Address: 611 NATIONAL AVE
    LAS VEGAS, NM
    ZIP 87701
  • Facility Phone: 505 426-0700
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MELANIE CHAVEZ
  • NPI Number: 1023395001
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2033788
LAB Type Prison
Facility Name MEADOW CITY FAMILY CLINIC
Street 611 NATIONAL AVE
City LAS VEGAS
State NM
ZIP 87701
Phone 505 426-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Prison
Lab Director MELANIE CHAVEZ

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