06D0693105 CLIA NUMBER - COLORADO STATE VETERANS NURSING HOME - RIFLE

Laboratory Demographics

  • CLIA Code: 06D0693105
  • Facility Name: COLORADO STATE VETERANS NURSING HOME - RIFLE
  • Facility Address: 851 EAST FIFTH STREET
    RIFLE, CO
    ZIP 81650
  • Facility Phone: 303 625-0842
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA RUBALCAVE
  • NPI Number: 1992040604
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D0693105
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLORADO STATE VETERANS NURSING HOME - RIFLE
Street 851 EAST FIFTH STREET
City RIFLE
State CO
ZIP 81650
Phone 303 625-0842
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 AMANDA RUBALCAVE

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