32D2155108 CLIA NUMBER - RIP & SNORT HEALTH CARE LLC

Laboratory Demographics

CLIA Number: 32D2155108

Facility Name: RIP & SNORT HEALTH CARE LLC

Facility Address:
94 SOLANO RD
PIE TOWN, NM
ZIP 87827
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Facility Phone Number: 520 488-1756

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1295211340

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2155108
LAB Type	Community Clinic
Facility Name	RIP & SNORT HEALTH CARE LLC
Street	94 SOLANO RD
City	PIE TOWN
State	NM
ZIP	87827
Phone	520 488-1756
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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