06D0856651 CLIA NUMBER - YUMA CLINIC

Laboratory Demographics

CLIA Number: 06D0856651

Facility Name: YUMA CLINIC

Facility Address:
1000 W 8TH AVE
YUMA, CO
ZIP 80759
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Facility Phone Number: 970 848-4710

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1144227588

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0856651
LAB Type	Rural Health Clinic
Facility Name	YUMA CLINIC
Street	1000 W 8TH AVE
City	YUMA
State	CO
ZIP	80759
Phone	970 848-4710
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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