32D2206030 CLIA NUMBER - HEARTFELT MANOR

Laboratory Demographics

  • CLIA Code: 32D2206030
  • Facility Name: HEARTFELT MANOR
  • Facility Address: 2210 E PINE LODGE
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 625-9145
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GINNY MICKLEVITZ

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CLIA Record

Field Name Field Value
CLIA Number 32D2206030
LAB Type Assisted Living Facility
Facility Name HEARTFELT MANOR
Street 2210 E PINE LODGE
City ROSWELL
State NM
ZIP 88201
Phone 575 625-9145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Assisted Living Facility
Lab Director GINNY MICKLEVITZ

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This page was last updated on: 6/4/2025