32D2134425 CLIA NUMBER - TAOS WHOLE HEALTH INTEGRATIVE CARE

Laboratory Demographics

CLIA Number: 32D2134425

Facility Name: TAOS WHOLE HEALTH INTEGRATIVE CARE

Facility Address:
1331 MAESTAS ROAD
TAOS, NM
ZIP 87571
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Facility Phone Number: 575 776-7806

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1356879027

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 32D2134425
LAB Type Physician Office
Facility Name TAOS WHOLE HEALTH INTEGRATIVE CARE
Street 1331 MAESTAS ROAD
City TAOS
State NM
ZIP 87571
Phone 575 776-7806
CertificateType 3
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType PPMP

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