32D2318072 CLIA NUMBER - EMERGENCY SPECIALTY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 32D2318072
  • Facility Name: EMERGENCY SPECIALTY SERVICES, LLC
  • Facility Address: 1650 HOSPITAL DRIVE, SUITE 500
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 670-1976
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARA YOUNG
  • NPI Number: 1487389136
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2318072
LAB Type Physician Office
Facility Name EMERGENCY SPECIALTY SERVICES, LLC
Street 1650 HOSPITAL DRIVE, SUITE 500
City SANTA FE
State NM
ZIP 87505
Phone 505 670-1976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director MARA YOUNG

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