32D2311695 CLIA NUMBER - SUNRISE CLINICS - NMHU SB

Laboratory Demographics

  • CLIA Code: 32D2311695
  • Facility Name: SUNRISE CLINICS - NMHU SB
  • Facility Address: 901 BACA STREET
    LAS VEGAS, NM
    ZIP 87701
  • Facility Phone: 575 472-4311
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: RANDAL W. BROWN
  • NPI Number: 1629851480
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2311695
LAB Type Federally Qualified Health Center
Facility Name SUNRISE CLINICS - NMHU SB
Street 901 BACA 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 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Federally Qualified Health Center
Lab Director RANDAL W. BROWN

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