32D2151900 CLIA NUMBER - MEMORIAL INTERNAL MEDICINE PICACHO

Laboratory Demographics

  • CLIA Code: 32D2151900
  • Facility Name: MEMORIAL INTERNAL MEDICINE PICACHO
  • Facility Address: 3030 W PICACHO STREET SUITE D
    LAS CRUCES, NM
    ZIP 88007
  • Facility Phone: 575 556-6470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER LUGO
  • NPI Number: 1760740245
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2151900
LAB Type Physician Office
Facility Name MEMORIAL INTERNAL MEDICINE PICACHO
Street 3030 W PICACHO STREET SUITE D
City LAS CRUCES
State NM
ZIP 88007
Phone 575 556-6470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director CHRISTOPHER LUGO

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