32D2084389 CLIA NUMBER - GOCORONA LLC

Laboratory Demographics

  • CLIA Code: 32D2084389
  • Facility Name: GOCORONA LLC
  • Facility Address: 304 S LEA AVE
    ROSWELL, NM
    ZIP 88203
  • Facility Phone: 575 578-4815
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GONZALO CORONA GONZALEZ
  • NPI Number: 1417212903
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2084389
LAB Type Physician Office
Facility Name GOCORONA LLC
Street 304 S LEA AVE
City ROSWELL
State NM
ZIP 88203
Phone 575 578-4815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director GONZALO CORONA GONZALEZ

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