06D1095238 CLIA NUMBER - GRAND JUNCTION FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 06D1095238
  • Facility Name: GRAND JUNCTION FAMILY MEDICINE
  • Facility Address: 525 NORTH AVE
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 970 424-5030
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARJA T. TAREK DO
  • NPI Number: 1013102912
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1095238
LAB Type Physician Office
Facility Name GRAND JUNCTION FAMILY MEDICINE
Street 525 NORTH AVE
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 424-5030
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director ARJA T. TAREK DO

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