32D2170373 CLIA NUMBER - DEMING CLINIC CORPORATION DBA MIMBRES VALLEY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 32D2170373
  • Facility Name: DEMING CLINIC CORPORATION DBA MIMBRES VALLEY MEDICAL GROUP
  • Facility Address: 905 S 8STH ST SUITE A
    DEMING, NM
    ZIP 88030
  • Facility Phone: 575 543-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANGELA M. EDWARDS
  • NPI Number: 1205835808
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2170373
LAB Type Physician Office
Facility Name DEMING CLINIC CORPORATION DBA MIMBRES VALLEY MEDICAL GROUP
Street 905 S 8STH ST SUITE A
City DEMING
State NM
ZIP 88030
Phone 575 543-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director DR. ANGELA M. EDWARDS

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