32D2073093 CLIA NUMBER - DIALYSIS CLINIC, INC - CUBA

Laboratory Demographics

  • CLIA Code: 32D2073093
  • Facility Name: DIALYSIS CLINIC, INC - CUBA
  • Facility Address: 14 EAST CORDOVA AVENUE
    CUBA, NM
    ZIP 87013
  • Facility Phone: 575 289-0090
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTONIA M. HARFORD
  • NPI Number: 1679819684
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2073093
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC - CUBA
Street 14 EAST CORDOVA AVENUE
City CUBA
State NM
ZIP 87013
Phone 575 289-0090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTONIA M. HARFORD

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