06D0688864 CLIA NUMBER - FORT LEWIS COLLEGE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 06D0688864
  • Facility Name: FORT LEWIS COLLEGE HEALTH CENTER
  • Facility Address: 170 MILLER STUDENT SERVICES BUILDING 1000 RIM DR
    DURANGO, CO
    ZIP 81301
  • Facility Phone: 970 247-7355
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: CHRISTINA R. KLOTZ
  • NPI Number: 1326726704
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0688864
LAB Type School/Student Health Service
Facility Name FORT LEWIS COLLEGE HEALTH CENTER
Street 170 MILLER STUDENT SERVICES BUILDING 1000 RIM DR
City DURANGO
State CO
ZIP 81301
Phone 970 247-7355
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 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type School/Student Health Service
Lab Director CHRISTINA R. KLOTZ

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