06D1031356 CLIA NUMBER - APPLETON CLINICS, GJ, LLC

Laboratory Demographics

  • CLIA Code: 06D1031356
  • Facility Name: APPLETON CLINICS, GJ, LLC
  • Facility Address: 607 25 ROAD SUITE 201
    GRAND JUNCTION, CO
    ZIP 81505
  • Facility Phone: 970 242-1566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG A. GUSTAFSON
  • NPI Number: 1407874118
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director DR. CRAIG A. GUSTAFSON

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