32D2190979 CLIA NUMBER - MICHAEL'S PRESCRIPTION CORNER

Laboratory Demographics

  • CLIA Code: 32D2190979
  • Facility Name: MICHAEL'S PRESCRIPTION CORNER
  • Facility Address: 123
    LOVINGTON, NM
    ZIP 88260
  • Facility Phone: 575 396-2311
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: MICHAEL RABURN
  • NPI Number: 1649311374
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2190979
LAB Type Health Fair
Facility Name MICHAEL'S PRESCRIPTION CORNER
Street 123
City LOVINGTON
State NM
ZIP 88260
Phone 575 396-2311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Health Fair
Lab Director MICHAEL RABURN

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