32D2246888 CLIA NUMBER - USRC LENOX AVENUE, LLC DBA US RENAL CARE LENOX AVENUE DIALYSIS

Laboratory Demographics

CLIA Number: 32D2246888

Facility Name: USRC LENOX AVENUE, LLC DBA US RENAL CARE LENOX AVENUE DIALYSIS

Facility Address:
1020 LENOX AVENUE
LAS CRUCES, NM
ZIP 88005
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Facility Phone Number: 505 510-7231

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1265183669

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 32D2246888
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC LENOX AVENUE, LLC DBA US RENAL CARE LENOX AVENUE DIALYSIS
Street 1020 LENOX AVENUE
City LAS CRUCES
State NM
ZIP 88005
Phone 505 510-7231
CertificateType 4
CertificateEffectiveDate 12/30/2023
CertificateExpirationDate 12/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024