32D2087003 CLIA NUMBER - SOUTHWEST WELLNESS LLC,DBA LA CLINICA

Laboratory Demographics

  • CLIA Code: 32D2087003
  • Facility Name: SOUTHWEST WELLNESS LLC,DBA LA CLINICA
  • Facility Address: 3201 RIDGE LOOP DR
    SILVER CITY, NM
    ZIP 88061
  • Facility Phone: 575 388-4251
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHAUNA M. MCCOSH
  • NPI Number: 1295158954
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2087003
LAB Type Practitioner Other
Facility Name SOUTHWEST WELLNESS LLC,DBA LA CLINICA
Street 3201 RIDGE LOOP DR
City SILVER CITY
State NM
ZIP 88061
Phone 575 388-4251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Practitioner Other
Lab Director SHAUNA M. MCCOSH

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