06D0871829 CLIA NUMBER - BENT COUNTY CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 06D0871829
  • Facility Name: BENT COUNTY CORRECTIONAL FACILITY
  • Facility Address: 11560 COUNTY RD FF 75
    LAS ANIMAS, CO
    ZIP 81054
  • Facility Phone: 719 456-2610
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: LAURA GRIBBLE
  • NPI Number: 1720257025
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D0871829
LAB Type Prison
Facility Name BENT COUNTY CORRECTIONAL FACILITY
Street 11560 COUNTY RD FF 75
City LAS ANIMAS
State CO
ZIP 81054
Phone 719 456-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Prison
Lab Director LAURA GRIBBLE

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