06D0666516 CLIA NUMBER - RIO GRANDE COUNTY PUBLIC HEALTH

Laboratory Demographics

CLIA Number: 06D0666516

Facility Name: RIO GRANDE COUNTY PUBLIC HEALTH

Facility Address:
925 6TH ST, ROOM 101
DEL NORTE, CO
ZIP 81132
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Facility Phone Number: 719 657-3352

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1184773061

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	06D0666516
LAB Type	Public Health Laboratories
Facility Name	RIO GRANDE COUNTY PUBLIC HEALTH
Street	925 6TH ST, ROOM 101
City	DEL NORTE
State	CO
ZIP	81132
Phone	719 657-3352
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024