32D2189831 CLIA NUMBER - DARRIN'S PLACE

Laboratory Demographics

CLIA Number: 32D2189831

Facility Name: DARRIN'S PLACE

Facility Address:
720 E HACIENDA ST
ESPANOLA, NM
ZIP 87532
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Facility Phone Number: 505 372-4511

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1821633587

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	32D2189831
LAB Type	Physician Office
Facility Name	DARRIN'S PLACE
Street	720 E HACIENDA ST
City	ESPANOLA
State	NM
ZIP	87532
Phone	505 372-4511
CertificateType	1
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Accreditation

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