32D2133861 CLIA NUMBER - CHRISTUS ST VINCENTS PAIN & SPINE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 32D2133861
  • Facility Name: CHRISTUS ST VINCENTS PAIN & SPINE SPECIALISTS
  • Facility Address: 2990 RODEO PARK DR EAST 2ND FLOOR
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 982-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MORDECHAI JOSEPH BRONNER
  • NPI Number: 1528585049
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2133861
LAB Type Physician Office
Facility Name CHRISTUS ST VINCENTS PAIN & SPINE SPECIALISTS
Street 2990 RODEO PARK DR EAST 2ND FLOOR
City SANTA FE
State NM
ZIP 87505
Phone 505 982-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director DR. MORDECHAI JOSEPH BRONNER

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