06D0519152 CLIA NUMBER - FAMILY PHYSICIANS OF WESTERN COLORADO

Laboratory Demographics

  • CLIA Code: 06D0519152
  • Facility Name: FAMILY PHYSICIANS OF WESTERN COLORADO
  • Facility Address: 3150 N 12TH ST
    GRAND JUNCTION, CO
    ZIP 81506
  • Facility Phone: (970) 245-1220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL J. PRAMENKO
  • NPI Number: 1992854723
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0519152
LAB Type Physician Office
Facility Name FAMILY PHYSICIANS OF WESTERN COLORADO
Street 3150 N 12TH ST
City GRAND JUNCTION
State CO
ZIP 81506
Phone 9702451220
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 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director DR. MICHAEL J. PRAMENKO

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This page was last updated on: 5/18/2026