32D2230473 CLIA NUMBER - DYNAMIC HEALTHCARE

Laboratory Demographics

  • CLIA Code: 32D2230473
  • Facility Name: DYNAMIC HEALTHCARE
  • Facility Address: 912 W 21ST
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 935-9000
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KAMBIZ YARAEI
  • NPI Number: 1093396160
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2230473
LAB Type Physician Office
Facility Name DYNAMIC HEALTHCARE
Street 912 W 21ST
City CLOVIS
State NM
ZIP 88101
Phone 575 935-9000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director DR. KAMBIZ YARAEI

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