32D2125006 CLIA NUMBER - EVERCARE FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 32D2125006
  • Facility Name: EVERCARE FAMILY PRACTICE, LLC
  • Facility Address: 1911 5TH STREET, SUITE 101
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 780-8301
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: KAREN C. ODAY
  • NPI Number: 1336683366
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2125006
LAB Type Practitioner Other
Facility Name EVERCARE FAMILY PRACTICE, LLC
Street 1911 5TH STREET, SUITE 101
City SANTA FE
State NM
ZIP 87505
Phone 505 780-8301
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Practitioner Other
Lab Director KAREN C. ODAY

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