06D2004306 CLIA NUMBER - RIO GRANDE REHAB AND HEALTHCARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 06D2004306
  • Facility Name: RIO GRANDE REHAB AND HEALTHCARE CENTER LLC
  • Facility Address: 39 CALLE MILLER
    LA JARA, CO
    ZIP 81140
  • Facility Phone: 719 274-3311
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THERESA LEPTHIEN
  • NPI Number: 1962736561
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2004306
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIO GRANDE REHAB AND HEALTHCARE CENTER LLC
Street 39 CALLE MILLER
City LA JARA
State CO
ZIP 81140
Phone 719 274-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THERESA LEPTHIEN

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