32D2325278 CLIA NUMBER - MORENO VALLEY URGENT CARE AT ANGEL FIRE RESORT

Laboratory Demographics

  • CLIA Code: 32D2325278
  • Facility Name: MORENO VALLEY URGENT CARE AT ANGEL FIRE RESORT
  • Facility Address: 10 FIVE SPRINGS RD
    ANGEL FIRE, NM
    ZIP 87710
  • Facility Phone: 575 377-8400
  • Facility Type: Other - STAND ALONE URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. ROSSI
  • NPI Number: 1679231500
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D2325278
LAB Type Other - STAND ALONE URGENT CARE
Facility Name MORENO VALLEY URGENT CARE AT ANGEL FIRE RESORT
Street 10 FIVE SPRINGS RD
City ANGEL FIRE
State NM
ZIP 87710
Phone 575 377-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Other - STAND ALONE URGENT CARE
Lab Director MICHAEL J. ROSSI

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