06D0908284 CLIA NUMBER - STERLING REGIONAL MEDCENTER BANNER FAMILY CARE CLINIC - STERLING

Laboratory Demographics

  • CLIA Code: 06D0908284
  • Facility Name: STERLING REGIONAL MEDCENTER BANNER FAMILY CARE CLINIC - STERLING
  • Facility Address: 615 FAIRHURST ST
    STERLING, CO
    ZIP 80751
  • Facility Phone: 970 522-0122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADAM MACKINTOSH
  • NPI Number: 1235296401
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 06D0908284
LAB Type Physician Office
Facility Name STERLING REGIONAL MEDCENTER BANNER FAMILY CARE CLINIC - STERLING
Street 615 FAIRHURST ST
City STERLING
State CO
ZIP 80751
Phone 970 522-0122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director DR. ADAM MACKINTOSH

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