06D1106140 CLIA NUMBER - LEGACY HOSPICE, LLC - CASTLE ROCK

Laboratory Demographics

  • CLIA Code: 06D1106140
  • Facility Name: LEGACY HOSPICE, LLC - CASTLE ROCK
  • Facility Address: 380 PERRY ST, UNIT 210
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1003044835
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D1106140
LAB Type Hospice
Facility Name LEGACY HOSPICE, LLC - CASTLE ROCK
Street 380 PERRY ST, UNIT 210
City CASTLE ROCK
State CO
ZIP 80104
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Hospice
Lab Director SELECE BEASLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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