06D1041189 CLIA NUMBER - WESTERN COLORADO PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 06D1041189
  • Facility Name: WESTERN COLORADO PEDIATRIC ASSOCIATES
  • Facility Address: 3150 N 12TH ST
    GRAND JUNCTION, CO
    ZIP 81506
  • Facility Phone: 970 243-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE A. BROWN
  • NPI Number: 1326399361
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D1041189
LAB Type Physician Office
Facility Name WESTERN COLORADO PEDIATRIC ASSOCIATES
Street 3150 N 12TH ST
City GRAND JUNCTION
State CO
ZIP 81506
Phone 970 243-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director KATHERINE A. BROWN

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