06D0970912 CLIA NUMBER - LONGMONT DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 06D0970912
  • Facility Name: LONGMONT DIALYSIS CENTER
  • Facility Address: 1715 IRON HORSE DR, SUITE 170
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 485-4084
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY PROCTOR
  • NPI Number: 1740657402
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0970912
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONGMONT DIALYSIS CENTER
Street 1715 IRON HORSE DR, SUITE 170
City LONGMONT
State CO
ZIP 80501
Phone 303 485-4084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GREGORY PROCTOR

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