32D2156101 CLIA NUMBER - RENEWED WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 32D2156101
  • Facility Name: RENEWED WELLNESS LLC
  • Facility Address: 201 W RICHARSON AVE
    ARTESIA, NM
    ZIP 88210
  • Facility Phone: 575 736-6222
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE L. JONES
  • NPI Number: 1265915078
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2156101
LAB Type Practitioner Other
Facility Name RENEWED WELLNESS LLC
Street 201 W RICHARSON AVE
City ARTESIA
State NM
ZIP 88210
Phone 575 736-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Practitioner Other
Lab Director STEPHANIE L. JONES

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