06D0895553 CLIA NUMBER - RIVER VALLEY FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 06D0895553

Facility Name: RIVER VALLEY FAMILY HEALTH CENTER

Facility Address:
308 MAIN STREET
OLATHE, CO
ZIP 81425
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Facility Phone Number: 970 323-6141

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1245600493

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0895553
LAB Type	Federally Qualified Health Center
Facility Name	RIVER VALLEY FAMILY HEALTH CENTER
Street	308 MAIN STREET
City	OLATHE
State	CO
ZIP	81425
Phone	970 323-6141
CertificateType	3
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	PPMP

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