06D0940792 CLIA NUMBER - RICHARD A SHAND MD

Laboratory Demographics

  • CLIA Code: 06D0940792
  • Facility Name: RICHARD A SHAND MD
  • Facility Address: 111 W SECOND ST
    LA JUNTA, CO
    ZIP 81050
  • Facility Phone: 719 384-2771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD A. SHAND
  • NPI Number: 1497804520
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0940792
LAB Type Physician Office
Facility Name RICHARD A SHAND MD
Street 111 W SECOND ST
City LA JUNTA
State CO
ZIP 81050
Phone 719 384-2771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director RICHARD A. SHAND

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