06D0519359 CLIA NUMBER - FAMILY HEALTH WEST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D0519359
  • Facility Name: FAMILY HEALTH WEST PRIMARY CARE
  • Facility Address: 401 KOKOPELLI DRIVE, UNIT 1
    FRUITA, CO
    ZIP 81521
  • Facility Phone: 970 858-9894
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. VANESSA MCCLELLAN
  • NPI Number: 1265633267
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D0519359
LAB Type Physician Office
Facility Name FAMILY HEALTH WEST PRIMARY CARE
Street 401 KOKOPELLI DRIVE, UNIT 1
City FRUITA
State CO
ZIP 81521
Phone 970 858-9894
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 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Physician Office
Lab Director DR. VANESSA MCCLELLAN

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