06D0995878 CLIA NUMBER - BELLA DERMA, LLC

Laboratory Demographics

  • CLIA Code: 06D0995878
  • Facility Name: BELLA DERMA, LLC
  • Facility Address: 925 RUSH DR
    SALIDA, CO
    ZIP 81201
  • Facility Phone: 719 539-4600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANTHONY L. TIMKO
  • NPI Number: 1417128455
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 06D0995878
LAB Type Physician Office
Facility Name BELLA DERMA, LLC
Street 925 RUSH DR
City SALIDA
State CO
ZIP 81201
Phone 719 539-4600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/5/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ANTHONY L. TIMKO

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