32D2055604 CLIA NUMBER - ENA MITCHELL SENIOR WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 32D2055604
  • Facility Name: ENA MITCHELL SENIOR WELLNESS CENTER
  • Facility Address: 532 DEMOSS STREET
    LORDSBURG, NM
    ZIP 88045
  • Facility Phone: 575 597-2759
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN ANDAZOLA
  • NPI Number: 1578802518
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2055604
LAB Type Federally Qualified Health Center
Facility Name ENA MITCHELL SENIOR WELLNESS CENTER
Street 532 DEMOSS STREET
City LORDSBURG
State NM
ZIP 88045
Phone 575 597-2759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Federally Qualified Health Center
Lab Director DR. JOHN ANDAZOLA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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