32D2235539 CLIA NUMBER - CROSS HEART CARE, LLC

Laboratory Demographics

  • CLIA Code: 32D2235539
  • Facility Name: CROSS HEART CARE, LLC
  • Facility Address: 848 NORTH 4TH STREET
    FORT SUMNER, NM
    ZIP 88119
  • Facility Phone: 575 760-2759
  • Facility Type: Other - SMALL CLINIC
  • Facility Type: Waiver
  • Lab Director: MARY M. KENYON
  • NPI Number: 1790453561
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2235539
LAB Type Other - SMALL CLINIC
Facility Name CROSS HEART CARE, LLC
Street 848 NORTH 4TH STREET
City FORT SUMNER
State NM
ZIP 88119
Phone 575 760-2759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Other - SMALL CLINIC
Lab Director MARY M. KENYON

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