06D0705683 CLIA NUMBER - TRI-LAKES MONUMENT FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 06D0705683
  • Facility Name: TRI-LAKES MONUMENT FIRE PROTECTION DISTRICT
  • Facility Address: 16055 OLD FOREST POINT SUITE 103
    MONUMENT, CO
    ZIP 80132
  • Facility Phone: 719 484-0911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. DOOLEY
  • NPI Number: 1558402370
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D0705683
LAB Type Ambulance
Facility Name TRI-LAKES MONUMENT FIRE PROTECTION DISTRICT
Street 16055 OLD FOREST POINT SUITE 103
City MONUMENT
State CO
ZIP 80132
Phone 719 484-0911
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 Ambulance
Lab Director MICHAEL P. DOOLEY

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