32D2068213 CLIA NUMBER - ALT RECOVERY GROUP

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Laboratory Demographics

CLIA Number: 32D2068213

Facility Name: ALT RECOVERY GROUP

Facility Address:
1141 MALL DRIVE SUITE #E
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 575 522-0660

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Accreditation

NPI Number: 1306285820

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	32D2068213
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ALT RECOVERY GROUP
Street	1141 MALL DRIVE SUITE #E
City	LAS CRUCES
State	NM
ZIP	88011
Phone	575 522-0660
CertificateType	1
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024