06D0923611 CLIA NUMBER - FRESENIUS MEDICAL CARE - LA JUNTA

Laboratory Demographics

  • CLIA Code: 06D0923611
  • Facility Name: FRESENIUS MEDICAL CARE - LA JUNTA
  • Facility Address: 1012 HAYES AVE
    LA JUNTA, CO
    ZIP 81050
  • Facility Phone: 719 383-2300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. IRINA VANCEA
  • NPI Number: 1639281439
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0923611
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE - LA JUNTA
Street 1012 HAYES AVE
City LA JUNTA
State CO
ZIP 81050
Phone 719 383-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. IRINA VANCEA

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