06D1065513 CLIA NUMBER - PERFORMANCE CARDIOLOGY PC

Laboratory Demographics

  • CLIA Code: 06D1065513
  • Facility Name: PERFORMANCE CARDIOLOGY PC
  • Facility Address: 1201 MAIN AVE SUITE 203
    DURANGO, CO
    ZIP 81301
  • Facility Phone: 970 403-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE E. ANDREA
  • NPI Number: 1932275047
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1065513
LAB Type Physician Office
Facility Name PERFORMANCE CARDIOLOGY PC
Street 1201 MAIN AVE SUITE 203
City DURANGO
State CO
ZIP 81301
Phone 970 403-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director BRUCE E. ANDREA

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