32D2252529 CLIA NUMBER - RENEW HEALTH

Laboratory Demographics

  • CLIA Code: 32D2252529
  • Facility Name: RENEW HEALTH
  • Facility Address: 207 N UNION AVE, STE E
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 363-3189
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT T. CARTER
  • NPI Number: 1336808831
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2252529
LAB Type Physician Office
Facility Name RENEW HEALTH
Street 207 N UNION AVE, STE E
City ROSWELL
State NM
ZIP 88201
Phone 575 363-3189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director ROBERT T. CARTER

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