32D2269611 CLIA NUMBER - HEALTHY START PEDIATRICS

Laboratory Demographics

  • CLIA Code: 32D2269611
  • Facility Name: HEALTHY START PEDIATRICS
  • Facility Address: 1745 AVENIDA DE MERCADO
    LAS CRUCES, NM
    ZIP 88005
  • Facility Phone: 575 224-2552
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANNA K. LARA
  • NPI Number: 1760100606
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2269611
LAB Type Practitioner Other
Facility Name HEALTHY START PEDIATRICS
Street 1745 AVENIDA DE MERCADO
City LAS CRUCES
State NM
ZIP 88005
Phone 575 224-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Practitioner Other
Lab Director DANNA K. LARA

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