06D1005415 CLIA NUMBER - HUERFANO COUNTY HOSPITAL DISTRICT DBA - SPANISH PEAKS OUTREACH AND WOMENS CLINIC

Laboratory Demographics

  • CLIA Code: 06D1005415
  • Facility Name: HUERFANO COUNTY HOSPITAL DISTRICT DBA - SPANISH PEAKS OUTREACH AND WOMENS CLINIC
  • Facility Address: 23450 US HIGHWAY 160
    WALSENBURG, CO
    ZIP 81089
  • Facility Phone: (719) 738-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LORI S. MOLL
  • NPI Number: 1346403375
  • Taxonomy: 261QF0050X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D1005415
LAB Type Physician Office
Facility Name HUERFANO COUNTY HOSPITAL DISTRICT DBA - SPANISH PEAKS OUTREACH AND WOMENS CLINIC
Street 23450 US HIGHWAY 160
City WALSENBURG
State CO
ZIP 81089
Phone 7197385200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director DR. LORI S. MOLL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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