06D0916601 CLIA NUMBER - CEDAR POINT HEALTH FP - CEDAREDGE

Laboratory Demographics

  • CLIA Code: 06D0916601
  • Facility Name: CEDAR POINT HEALTH FP - CEDAREDGE
  • Facility Address: 255 SOUTH GRAND MESA DR
    CEDAREDGE, CO
    ZIP 81413
  • Facility Phone: 970 249-7751
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RANDAL SHELTON
  • NPI Number: 1902804032
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0916601
LAB Type Physician Office
Facility Name CEDAR POINT HEALTH FP - CEDAREDGE
Street 255 SOUTH GRAND MESA DR
City CEDAREDGE
State CO
ZIP 81413
Phone 970 249-7751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director DR. RANDAL SHELTON

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