32D2112540 CLIA NUMBER - RODEN-SMITH PHARMACY

Laboratory Demographics

  • CLIA Code: 32D2112540
  • Facility Name: RODEN-SMITH PHARMACY
  • Facility Address: 305 E LLANO ESTACADO BLVD
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 762-3848
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICAH A. LANSFORD
  • NPI Number: 1346455680
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2112540
LAB Type Pharmacy
Facility Name RODEN-SMITH PHARMACY
Street 305 E LLANO ESTACADO BLVD
City CLOVIS
State NM
ZIP 88101
Phone 575 762-3848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Pharmacy
Lab Director MICAH A. LANSFORD

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