06D1031356 CLIA NUMBER - APPLETON CLINICS, GJ, LLC

Laboratory Demographics

CLIA Number: 06D1031356

Facility Name: APPLETON CLINICS, GJ, LLC

Facility Address:
607 25 ROAD SUITE 201
GRAND JUNCTION, CO
ZIP 81505
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Facility Phone Number: 970 242-1566

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407874118

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	06D1031356
LAB Type	Physician Office
Facility Name	APPLETON CLINICS, GJ, LLC
Street	607 25 ROAD SUITE 201
City	GRAND JUNCTION
State	CO
ZIP	81505
Phone	970 242-1566
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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