32D2321181 CLIA NUMBER - MEMORIAL FAMILY PRACTICE AND BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 32D2321181
  • Facility Name: MEMORIAL FAMILY PRACTICE AND BEHAVIORAL HEALTH
  • Facility Address: 702 N 13TH ST
    ARTESIA, NM
    ZIP 88210
  • Facility Phone: 575 736-8286
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER A. GRIMM
  • NPI Number: 1437296522
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2321181
LAB Type Physician Office
Facility Name MEMORIAL FAMILY PRACTICE AND BEHAVIORAL HEALTH
Street 702 N 13TH ST
City ARTESIA
State NM
ZIP 88210
Phone 575 736-8286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director PETER A. GRIMM

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