32D2293454 CLIA NUMBER - ROCKY MOUNTIAN CLINICS - ESPANOLA

Laboratory Demographics

  • CLIA Code: 32D2293454
  • Facility Name: ROCKY MOUNTIAN CLINICS - ESPANOLA
  • Facility Address: 610 CALLE VIGIL
    ESPANOLA, NM
    ZIP 87532
  • Facility Phone: 970 493-9193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK S. MCCOY
  • NPI Number: 1578289518
  • Taxonomy: 207QA0401X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2293454
LAB Type Physician Office
Facility Name ROCKY MOUNTIAN CLINICS - ESPANOLA
Street 610 CALLE VIGIL
City ESPANOLA
State NM
ZIP 87532
Phone 970 493-9193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director CLARK S. MCCOY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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