06D0518054 CLIA NUMBER - UCHEALTH FAMILY MEDICINE- 13TH ST

Laboratory Demographics

  • CLIA Code: 06D0518054
  • Facility Name: UCHEALTH FAMILY MEDICINE- 13TH ST
  • Facility Address: 216 W 13TH ST
    PUEBLO, CO
    ZIP 81003
  • Facility Phone: 719 584-7474
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL A. RAMOS
  • NPI Number: 1285278515
  • Taxonomy: 207QA0000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0518054
LAB Type Physician Office
Facility Name UCHEALTH FAMILY MEDICINE- 13TH ST
Street 216 W 13TH ST
City PUEBLO
State CO
ZIP 81003
Phone 719 584-7474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MICHAEL A. RAMOS

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