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

Laboratory Demographics

CLIA Number: 06D1005415

Facility Name: HUERFANO COUNTY HOSPITAL DISTRICT DBA - SPANISH PEAKS OUTREACH AND WOMENS CLINIC

Facility Address:
23450 US HIGHWAY 160
WALSENBURG, CO
ZIP 81089
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Facility Phone Number: 719 738-5200

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1346403375

Taxonomy: 261QF0050X - Clinic/Center
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

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 719 738-5200
CertificateType 4
CertificateEffectiveDate 10/22/2022
CertificateExpirationDate 10/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024