32D2306330 CLIA NUMBER - CURBSIDE WELLNESS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 32D2306330
  • Facility Name: CURBSIDE WELLNESS CLINIC LLC
  • Facility Address: 921 E 21ST STREET STE E
    CLOVIS, NM
    ZIP 88101
  • Facility Phone: 575 221-9663
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSICA A. SIMPSON
  • NPI Number: 1194553024
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 32D2306330
LAB Type Practitioner Other
Facility Name CURBSIDE WELLNESS CLINIC LLC
Street 921 E 21ST STREET STE E
City CLOVIS
State NM
ZIP 88101
Phone 575 221-9663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Practitioner Other
Lab Director JESSICA A. SIMPSON

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