06D0709693 CLIA NUMBER - RICHARD RIVERA MD PC DBA EMERGI-MEDICAL CARE CENTER

Laboratory Demographics

CLIA Number: 06D0709693

Facility Name: RICHARD RIVERA MD PC DBA EMERGI-MEDICAL CARE CENTER

Facility Address:
1080 CHINNOK LANE
PUEBLO, CO
ZIP 81001
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Facility Phone Number: 719 564-9400

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1710952577

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	06D0709693
LAB Type	Physician Office
Facility Name	RICHARD RIVERA MD PC DBA EMERGI-MEDICAL CARE CENTER
Street	1080 CHINNOK LANE
City	PUEBLO
State	CO
ZIP	81001
Phone	719 564-9400
CertificateType	3
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	PPMP

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