32D2067173 CLIA NUMBER - SHADOW MOUNTAIN RECOVERY

Laboratory Demographics

  • CLIA Code: 32D2067173
  • Facility Name: SHADOW MOUNTAIN RECOVERY
  • Facility Address: 250 SHADOW MOUNTAIN ROAD
    TAOS, NM
    ZIP 87571
  • Facility Phone: 575 758-1630
  • Facility Type: Other - BEHAVIORAL HEALTH FACILIT
  • Facility Type: Waiver
  • Lab Director: LEA HARRISON
  • NPI Number: 1295154888
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D2067173
LAB Type Other - BEHAVIORAL HEALTH FACILIT
Facility Name SHADOW MOUNTAIN RECOVERY
Street 250 SHADOW MOUNTAIN ROAD
City TAOS
State NM
ZIP 87571
Phone 575 758-1630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Other - BEHAVIORAL HEALTH FACILIT
Lab Director LEA HARRISON

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