32D2071272 CLIA NUMBER - VISTA TAOS RENEWAL CENTER

Laboratory Demographics

  • CLIA Code: 32D2071272
  • Facility Name: VISTA TAOS RENEWAL CENTER
  • Facility Address: 259 BLUEBERRY HILL ROAD
    EL PRADO, NM
    ZIP 87529
  • Facility Phone: 575 758-5858
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: JEFF LAMURE
  • NPI Number: 1790791697
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D2071272
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name VISTA TAOS RENEWAL CENTER
Street 259 BLUEBERRY HILL ROAD
City EL PRADO
State NM
ZIP 87529
Phone 575 758-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director JEFF LAMURE

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