32D2291923 CLIA NUMBER - LIFECARE MOUNTAIN HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 32D2291923
  • Facility Name: LIFECARE MOUNTAIN HOME CARE LLC
  • Facility Address: 1150 WASHINGTON AVENUE, SUITE 215
    SANTA FE, NM
    ZIP 87501
  • Facility Phone: 505 966-9808
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAURIE COCHRANE
  • NPI Number: 1093497851
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 32D2291923
LAB Type Home Health Agency
Facility Name LIFECARE MOUNTAIN HOME CARE LLC
Street 1150 WASHINGTON AVENUE, SUITE 215
City SANTA FE
State NM
ZIP 87501
Phone 505 966-9808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Home Health Agency
Lab Director LAURIE COCHRANE

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