32D2126805 CLIA NUMBER - LAS CRUCES HOSPICE, LLC

Laboratory Demographics

CLIA Number: 32D2126805

Facility Name: LAS CRUCES HOSPICE, LLC

Facility Address:
4151 CAMINO COYOTE
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 575 522-0484

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1508374760

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	32D2126805
LAB Type	Hospice
Facility Name	LAS CRUCES HOSPICE, LLC
Street	4151 CAMINO COYOTE
City	LAS CRUCES
State	NM
ZIP	88011
Phone	575 522-0484
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024