06D0999564 CLIA NUMBER - SUMMIT WEST CARE

Laboratory Demographics

  • CLIA Code: 06D0999564
  • Facility Name: SUMMIT WEST CARE
  • Facility Address: 2800 PRINTERS WAY, SUITE 200
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 970 263-0202
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARLEEN RAAUM
  • NPI Number: 1326047614
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D0999564
LAB Type Home Health Agency
Facility Name SUMMIT WEST CARE
Street 2800 PRINTERS WAY, SUITE 200
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 263-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Home Health Agency
Lab Director CHARLEEN RAAUM

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