32D2277312 CLIA NUMBER - KIDNEY WELLNESS CENTER LC

Laboratory Demographics

  • CLIA Code: 32D2277312
  • Facility Name: KIDNEY WELLNESS CENTER LC
  • Facility Address: 755 S TELSHOR SUITE S101
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 556-9426
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSVALDO R. DELAVEGA
  • NPI Number: 1932848785
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2277312
LAB Type Physician Office
Facility Name KIDNEY WELLNESS CENTER LC
Street 755 S TELSHOR SUITE S101
City LAS CRUCES
State NM
ZIP 88011
Phone 575 556-9426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director OSVALDO R. DELAVEGA

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