06D0895190 CLIA NUMBER - FRESENIUS MEDICAL CARE PUEBLO PUEBLO-2108

Laboratory Demographics

  • CLIA Code: 06D0895190
  • Facility Name: FRESENIUS MEDICAL CARE PUEBLO PUEBLO-2108
  • Facility Address: 41 MONTEBELLO RD
    PUEBLO, CO
    ZIP 81001
  • Facility Phone: 719 545-1575
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRINA VANCEA
  • NPI Number: 1396847562
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D0895190
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE PUEBLO PUEBLO-2108
Street 41 MONTEBELLO RD
City PUEBLO
State CO
ZIP 81001
Phone 719 545-1575
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 End Stage Renal Disease Dialysis Facility
Lab Director IRINA VANCEA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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