32D2301060 CLIA NUMBER - SUNRISE CLINICS SCHOOL - BASED CLINIC RIO GALLINAS SCHOOL FOR ECOLOGY AND THE ARTS

Laboratory Demographics

  • CLIA Code: 32D2301060
  • Facility Name: SUNRISE CLINICS SCHOOL - BASED CLINIC RIO GALLINAS SCHOOL FOR ECOLOGY AND THE ARTS
  • Facility Address: 2730 ROMERO 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: 1417630922
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2301060
LAB Type Physician Office
Facility Name SUNRISE CLINICS SCHOOL - BASED CLINIC RIO GALLINAS SCHOOL FOR ECOLOGY AND THE ARTS
Street 2730 ROMERO 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 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director RANDAL W. BROWN

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