06D0901433 CLIA NUMBER - BUENA VISTA HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 06D0901433
  • Facility Name: BUENA VISTA HEALTH CENTER
  • Facility Address: 28374 COUNTY RD 317
    BUENA VISTA, CO
    ZIP 81211
  • Facility Phone: 719 395-9048
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS E. WHITE
  • NPI Number: 1497251136
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 06D0901433
LAB Type Rural Health Clinic
Facility Name BUENA VISTA HEALTH CENTER
Street 28374 COUNTY RD 317
City BUENA VISTA
State CO
ZIP 81211
Phone 719 395-9048
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Rural Health Clinic
Lab Director DR. THOMAS E. WHITE

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