06D0709738 CLIA NUMBER - BANNER HEALTH PHYSICIANS COLORADO LLC

Laboratory Demographics

  • CLIA Code: 06D0709738
  • Facility Name: BANNER HEALTH PHYSICIANS COLORADO LLC
  • Facility Address: 1800 15TH ST, STE 220
    GREELEY, CO
    ZIP 80631
  • Facility Phone: 970 353-1335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN D. CARTER
  • NPI Number: 1851842892
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0709738
LAB Type Physician Office
Facility Name BANNER HEALTH PHYSICIANS COLORADO LLC
Street 1800 15TH ST, STE 220
City GREELEY
State CO
ZIP 80631
Phone 970 353-1335
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 Physician Office
Lab Director DR. SUSAN D. CARTER

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