32D2304394 CLIA NUMBER - NEW MEXICO TREATMENT SERVICES LLC

Laboratory Demographics

CLIA Code: 32D2304394
Facility Name: NEW MEXICO TREATMENT SERVICES LLC
Facility Address: 1227 N RAILROAD AVE SUITE C
ESPANOLA, NM
ZIP 87532
Facility Phone: 505 747-8259
Facility Type: Other - MEDICATION ASSISTED TREAT
Facility Type: Waiver
Lab Director: VALERIE COOK
NPI Number: 1528811775
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	32D2304394
LAB Type	Other - MEDICATION ASSISTED TREAT
Facility Name	NEW MEXICO TREATMENT SERVICES LLC
Street	1227 N RAILROAD AVE SUITE C
City	ESPANOLA
State	NM
ZIP	87532
Phone	505 747-8259
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/13/2024
Certificate Expiration Date	5/12/2026
Facility Type	Other - MEDICATION ASSISTED TREAT
Lab Director	VALERIE COOK

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