32D2116788 CLIA NUMBER - PECOS VALLEY WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 32D2116788
  • Facility Name: PECOS VALLEY WELLNESS LLC
  • Facility Address: 404B WEST COLLEGE BLVD
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 691-9814
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. MUHR
  • NPI Number: 1407382567
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2116788
LAB Type Practitioner Other
Facility Name PECOS VALLEY WELLNESS LLC
Street 404B WEST COLLEGE BLVD
City ROSWELL
State NM
ZIP 88201
Phone 575 691-9814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Practitioner Other
Lab Director STEPHEN W. MUHR

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