32D2200867 CLIA NUMBER - ROCKY MOUNTAIN CLINIC-FARMINGTON DBA FRONT RANGE CLINIC

Laboratory Demographics

  • CLIA Code: 32D2200867
  • Facility Name: ROCKY MOUNTAIN CLINIC-FARMINGTON DBA FRONT RANGE CLINIC
  • Facility Address: 313 N LOCKE AVE
    FARMINGTON, NM
    ZIP 87401
  • Facility Phone: 505 787-2367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK S. MCCOY
  • NPI Number: 1285350066
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2200867
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN CLINIC-FARMINGTON DBA FRONT RANGE CLINIC
Street 313 N LOCKE AVE
City FARMINGTON
State NM
ZIP 87401
Phone 505 787-2367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director CLARK S. MCCOY

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