06D0516084 CLIA NUMBER - CONCENTRA - FORT COLLINS LEMAY

Laboratory Demographics

  • CLIA Code: 06D0516084
  • Facility Name: CONCENTRA - FORT COLLINS LEMAY
  • Facility Address: 620 SOUTH LEMAY AVE
    FORT COLLINS, CO
    ZIP 80524
  • Facility Phone: 970 221-5811
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DR. AMANDA CAVA
  • NPI Number: 1497907802
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0516084
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CONCENTRA - FORT COLLINS LEMAY
Street 620 SOUTH LEMAY AVE
City FORT COLLINS
State CO
ZIP 80524
Phone 970 221-5811
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. AMANDA CAVA

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