32D2258177 CLIA NUMBER - NEW MEXICO WELLNESS LLC - RIO RANCHO

Laboratory Demographics

  • CLIA Code: 32D2258177
  • Facility Name: NEW MEXICO WELLNESS LLC - RIO RANCHO
  • Facility Address: 4210 MEADOWLARK LN SE
    RIO RANCHO, NM
    ZIP 87124
  • Facility Phone: 505 737-1858
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KATERINA SADILKOVA
  • NPI Number: 1467083956
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 32D2258177
LAB Type Physician Office
Facility Name NEW MEXICO WELLNESS LLC - RIO RANCHO
Street 4210 MEADOWLARK LN SE
City RIO RANCHO
State NM
ZIP 87124
Phone 505 737-1858
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 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. KATERINA SADILKOVA

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This page was last updated on: 3/20/2025