32D2269394 CLIA NUMBER - LOVELACE SPECIALTY HEALTH CARE - ROSWELL

Laboratory Demographics

  • CLIA Code: 32D2269394
  • Facility Name: LOVELACE SPECIALTY HEALTH CARE - ROSWELL
  • Facility Address: 311 WEST COUNTRY CLUB ROAD
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 505 727-5630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEVERLY WILLIAMS
  • NPI Number: 1306238183
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2269394
LAB Type Physician Office
Facility Name LOVELACE SPECIALTY HEALTH CARE - ROSWELL
Street 311 WEST COUNTRY CLUB ROAD
City ROSWELL
State NM
ZIP 88201
Phone 505 727-5630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director BEVERLY WILLIAMS

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