32D2065172 CLIA NUMBER - EXCLUSIVE PSYCHIATRIC CARE

Laboratory Demographics

  • CLIA Code: 32D2065172
  • Facility Name: EXCLUSIVE PSYCHIATRIC CARE
  • Facility Address: 1161 MALL DRIVE SUITE C
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 522-2330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENE GUTIERREZ
  • NPI Number: 1033430533
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 32D2065172
LAB Type Physician Office
Facility Name EXCLUSIVE PSYCHIATRIC CARE
Street 1161 MALL DRIVE SUITE C
City LAS CRUCES
State NM
ZIP 88011
Phone 575 522-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director SELENE GUTIERREZ

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