06D1075613 CLIA NUMBER - NORTHSIDE CHILD HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 06D1075613
  • Facility Name: NORTHSIDE CHILD HEALTH CENTER
  • Facility Address: 528 N UNCOMPAGHRE
    MONTROSE, CO
    ZIP 81401
  • Facility Phone: 970 240-6438
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JENNIFER E. DANIELSON
  • NPI Number: 1225347339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1075613
LAB Type School/Student Health Service
Facility Name NORTHSIDE CHILD HEALTH CENTER
Street 528 N UNCOMPAGHRE
City MONTROSE
State CO
ZIP 81401
Phone 970 240-6438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type School/Student Health Service
Lab Director JENNIFER E. DANIELSON

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