06D0885078 CLIA NUMBER - PROWERS MEDICAL CENTER CLINIC

Laboratory Demographics

  • CLIA Code: 06D0885078
  • Facility Name: PROWERS MEDICAL CENTER CLINIC
  • Facility Address: 403 KENDALL DR
    LAMAR, CO
    ZIP 81052
  • Facility Phone: 719 336-6767
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BECKETT S. TERRI
  • NPI Number: 1972783033
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0885078
LAB Type Rural Health Clinic
Facility Name PROWERS MEDICAL CENTER CLINIC
Street 403 KENDALL DR
City LAMAR
State CO
ZIP 81052
Phone 719 336-6767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Rural Health Clinic
Lab Director BECKETT S. TERRI

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