32D2072739 CLIA NUMBER - MORA INDEPENDENT SCHOOLS

Laboratory Demographics

  • CLIA Code: 32D2072739
  • Facility Name: MORA INDEPENDENT SCHOOLS
  • Facility Address: HIGHWAY 518 RANGER DR
    MORA, NM
    ZIP 87732
  • Facility Phone: 575 387-3224
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHANTAL GARCIA
  • NPI Number: 1952434540
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 32D2072739
LAB Type School/Student Health Service
Facility Name MORA INDEPENDENT SCHOOLS
Street HIGHWAY 518 RANGER DR
City MORA
State NM
ZIP 87732
Phone 575 387-3224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type School/Student Health Service
Lab Director SHANTAL GARCIA

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