32D2290167 CLIA NUMBER - SUNRISE CLINIC SCHOOL-BASED CLINIC UNION ELEMENTARY SCHOOL - BASED HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 32D2290167
  • Facility Name: SUNRISE CLINIC SCHOOL-BASED CLINIC UNION ELEMENTARY SCHOOL - BASED HEALTH CLINIC
  • Facility Address: 421 UNION STREET
    LAS VEGAS, NM
    ZIP 87701
  • Facility Phone: 575 472-4311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDAL W. BROWN
  • NPI Number: 1487337697
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2290167
LAB Type Physician Office
Facility Name SUNRISE CLINIC SCHOOL-BASED CLINIC UNION ELEMENTARY SCHOOL - BASED HEALTH CLINIC
Street 421 UNION STREET
City LAS VEGAS
State NM
ZIP 87701
Phone 575 472-4311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director RANDAL W. BROWN

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