32D2287380 CLIA NUMBER - MOUNTAIN VIEW RHEUMATOLOGY

Laboratory Demographics

CLIA Number: 32D2287380

Facility Name: MOUNTAIN VIEW RHEUMATOLOGY

Facility Address:
4351 E LOHMAN AVE SUITE 209
LAS CRUCES, NM
ZIP 88011
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Facility Phone Number: 575 556-3275

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861444838

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2287380
LAB Type	Physician Office
Facility Name	MOUNTAIN VIEW RHEUMATOLOGY
Street	4351 E LOHMAN AVE SUITE 209
City	LAS CRUCES
State	NM
ZIP	88011
Phone	575 556-3275
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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