32D2180334 CLIA NUMBER - DESERT PEAKS SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 32D2180334

Facility Name: DESERT PEAKS SURGERY CENTER LLC

Facility Address:
1131 MALL DRIVE
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 602 598-7025

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1093368151

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2180334
LAB Type	Ambulatory Surgery Center
Facility Name	DESERT PEAKS SURGERY CENTER LLC
Street	1131 MALL DRIVE
City	LAS CRUCES
State	NM
ZIP	88011
Phone	602 598-7025
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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