06D0687797 CLIA NUMBER - FAIRACRES MANOR

Laboratory Demographics

  • CLIA Code: 06D0687797
  • Facility Name: FAIRACRES MANOR
  • Facility Address: 1700 18TH AVE
    GREELEY, CO
    ZIP 80631
  • Facility Phone: 970 353-3370
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER TRUJILLO
  • NPI Number: 1205209764
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D0687797
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRACRES MANOR
Street 1700 18TH AVE
City GREELEY
State CO
ZIP 80631
Phone 970 353-3370
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 Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER TRUJILLO

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