06D1107393 CLIA NUMBER - GRAND MESA NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 06D1107393
  • Facility Name: GRAND MESA NEPHROLOGY
  • Facility Address: 2748 CROSSROADS BLVD
    GRAND JUNCTION, CO
    ZIP 81506
  • Facility Phone: 970 255-0919
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH HARAWI
  • NPI Number: 1154633220
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1107393
LAB Type Physician Office
Facility Name GRAND MESA NEPHROLOGY
Street 2748 CROSSROADS BLVD
City GRAND JUNCTION
State CO
ZIP 81506
Phone 970 255-0919
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director JOSEPH HARAWI

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