06D1054745 CLIA NUMBER - VISTA MESA ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 06D1054745
  • Facility Name: VISTA MESA ASSISTED LIVING
  • Facility Address: 1206 NORTH MILDRED ROAD
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 564-1888
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RAVEN A. DOWNS
  • NPI Number: 1972699536
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D1054745
LAB Type Assisted Living Facility
Facility Name VISTA MESA ASSISTED LIVING
Street 1206 NORTH MILDRED ROAD
City CORTEZ
State CO
ZIP 81321
Phone 970 564-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Assisted Living Facility
Lab Director RAVEN A. DOWNS

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