32D2320798 CLIA NUMBER - SUNRISE CLINIC - PECOS ELEMENTARY SCHOOL SB

Laboratory Demographics

  • CLIA Code: 32D2320798
  • Facility Name: SUNRISE CLINIC - PECOS ELEMENTARY SCHOOL SB
  • Facility Address: 28 PANTHER PARKWAY N HIGHWAY 63
    PECOS, NM
    ZIP 87552
  • Facility Phone: 575 472-4322
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: RANDAL W. BROWN
  • NPI Number: 1689477796
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2320798
LAB Type Federally Qualified Health Center
Facility Name SUNRISE CLINIC - PECOS ELEMENTARY SCHOOL SB
Street 28 PANTHER PARKWAY N HIGHWAY 63
City PECOS
State NM
ZIP 87552
Phone 575 472-4322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Federally Qualified Health Center
Lab Director RANDAL W. BROWN

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