06D0923372 CLIA NUMBER - PROWERS MEDICAL CENTER HOME HEALTH

Laboratory Demographics

  • CLIA Code: 06D0923372
  • Facility Name: PROWERS MEDICAL CENTER HOME HEALTH
  • Facility Address: 401 KENDALL DR
    LAMAR, CO
    ZIP 81052
  • Facility Phone: 719 336-6881
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICAELA AGUILERA
  • NPI Number: 1174511414
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D0923372
LAB Type Home Health Agency
Facility Name PROWERS MEDICAL CENTER HOME HEALTH
Street 401 KENDALL DR
City LAMAR
State CO
ZIP 81052
Phone 719 336-6881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Home Health Agency
Lab Director MICAELA AGUILERA

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This page was last updated on: 6/4/2025