32D2148663 CLIA NUMBER - ADVANCED PRACTICE HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 32D2148663
  • Facility Name: ADVANCED PRACTICE HEALTH CLINIC
  • Facility Address: 2000 W 21ST ST SUITE E-3
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 954 655-3570
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID ESTABILLO
  • NPI Number: 1336637727
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2148663
LAB Type Practitioner Other
Facility Name ADVANCED PRACTICE HEALTH CLINIC
Street 2000 W 21ST ST SUITE E-3
City CLOVIS
State NM
ZIP 88101
Phone 954 655-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Practitioner Other
Lab Director DAVID ESTABILLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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