32D2062042 CLIA NUMBER - SANTA FE MOUNTAIN CENTER

Laboratory Demographics

  • CLIA Code: 32D2062042
  • Facility Name: SANTA FE MOUNTAIN CENTER
  • Facility Address: 1524 B BISHOP'S LODGE ROAD
    TESUQUE, NM
    ZIP 87574
  • Facility Phone: 505 983-6158
  • Facility Type: Other - NON PROFIT COMMUNITY EDUC
  • Facility Type: Waiver
  • Lab Director: TONY DIXON
  • NPI Number: 1861695769
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 32D2062042
LAB Type Other - NON PROFIT COMMUNITY EDUC
Facility Name SANTA FE MOUNTAIN CENTER
Street 1524 B BISHOP'S LODGE ROAD
City TESUQUE
State NM
ZIP 87574
Phone 505 983-6158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Other - NON PROFIT COMMUNITY EDUC
Lab Director TONY DIXON

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