06D1097035 CLIA NUMBER - COLLINWOOD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 06D1097035
  • Facility Name: COLLINWOOD ASSISTED LIVING
  • Facility Address: 5055 SOUTH LEMAY AVE
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 530-0223
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HOLLY DITSLEAR
  • NPI Number: 1902946734
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D1097035
LAB Type Assisted Living Facility
Facility Name COLLINWOOD ASSISTED LIVING
Street 5055 SOUTH LEMAY AVE
City FORT COLLINS
State CO
ZIP 80525
Phone 970 530-0223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Assisted Living Facility
Lab Director HOLLY DITSLEAR

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