32D2271655 CLIA NUMBER - ANDREWS FAMILY CARE, INC

Laboratory Demographics

CLIA Number: 32D2271655

Facility Name: ANDREWS FAMILY CARE, INC

Facility Address:
1405 N UNION AVENUE
ROSWELL, NM
ZIP 88201
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Facility Phone Number: 575 622-4633

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295313559

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	32D2271655
LAB Type	Physician Office
Facility Name	ANDREWS FAMILY CARE, INC
Street	1405 N UNION AVENUE
City	ROSWELL
State	NM
ZIP	88201
Phone	575 622-4633
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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