06D0956605 CLIA NUMBER - HEART OF THE ROCKIES REGIONAL MEDICAL CENTER OUTPATIENT PAVILLION

Laboratory Demographics

  • CLIA Code: 06D0956605
  • Facility Name: HEART OF THE ROCKIES REGIONAL MEDICAL CENTER OUTPATIENT PAVILLION
  • Facility Address: 1000 RUSH DRIVE
    SALIDA, CO
    ZIP 81201
  • Facility Phone: (719) 530-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERRY R. TANNER
  • NPI Number: 1053790444
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0956605
LAB Type Physician Office
Facility Name HEART OF THE ROCKIES REGIONAL MEDICAL CENTER OUTPATIENT PAVILLION
Street 1000 RUSH DRIVE
City SALIDA
State CO
ZIP 81201
Phone 7195302000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director DR. JERRY R. TANNER

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This page was last updated on: 5/18/2026