32D2280600 CLIA NUMBER - HIGH RESORT EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 32D2280600
  • Facility Name: HIGH RESORT EYE SURGERY CENTER
  • Facility Address: 4100 HIGH RESORT BLVD SE SUITE 280
    RIO RANCHO, NM
    ZIP 87124
  • Facility Phone: 505 343-6093
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREG OGAWA
  • NPI Number: 1972208379
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2280600
LAB Type Ambulatory Surgery Center
Facility Name HIGH RESORT EYE SURGERY CENTER
Street 4100 HIGH RESORT BLVD SE SUITE 280
City RIO RANCHO
State NM
ZIP 87124
Phone 505 343-6093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2023
Certificate Expiration Date 4/20/2025
Facility Type Ambulatory Surgery Center
Lab Director GREG OGAWA

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