32D2215059 CLIA NUMBER - CLOVIS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 32D2215059
  • Facility Name: CLOVIS SURGERY CENTER LLC
  • Facility Address: 1820 W 21ST STREET
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 935-3668
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DEVIN D. WAHLEN
  • NPI Number: 1912512542
  • Taxonomy: 207XX0004X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 32D2215059
LAB Type Ambulatory Surgery Center
Facility Name CLOVIS SURGERY CENTER LLC
Street 1820 W 21ST STREET
City CLOVIS
State NM
ZIP 88101
Phone 575 935-3668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. DEVIN D. WAHLEN

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