32D2079002 CLIA NUMBER - MOUNTAINVIEW FAMILY CARE VALLEY

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Laboratory Demographics

CLIA Number: 32D2079002

Facility Name: MOUNTAINVIEW FAMILY CARE VALLEY

Facility Address:
1455 S VALLEY DRIVE SUITE B
LAS CRUCES, NM
ZIP 88005
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Facility Phone Number: 575 526-6992

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1548560121

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	32D2079002
LAB Type	Physician Office
Facility Name	MOUNTAINVIEW FAMILY CARE VALLEY
Street	1455 S VALLEY DRIVE SUITE B
City	LAS CRUCES
State	NM
ZIP	88005
Phone	575 526-6992
CertificateType	3
CertificateEffectiveDate	6/9/2022
CertificateExpirationDate	6/8/2024
FacilityType	PPMP

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