Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
32D2145856
|
|
Clinical laboratory number
|
|
Lab Name
|
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
505-545-6741
|
|
Laboratory telephone number
|
|
Fax
|
575-291-1971
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2240 GRANDE BLVD SE, STE 106
|
|
Primary location adress line
|
|
City
|
RIO RANCHO
|
|
Primary location city name
|
|
State
|
NM
|
|
Primary location state name
|
|
Zip
|
87124
|
|
Primary location postal code
|