06D2031345 CLIA NUMBER - TELLER COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 06D2031345
  • Facility Name: TELLER COUNTY JAIL
  • Facility Address: 288 WEAVERVILLE ROAD
    DIVIDE, CO
    ZIP 80814
  • Facility Phone: 719 304-5773
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JOHN FENTON
  • NPI Number: 1578720918
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 06D2031345
LAB Type Prison
Facility Name TELLER COUNTY JAIL
Street 288 WEAVERVILLE ROAD
City DIVIDE
State CO
ZIP 80814
Phone 719 304-5773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Prison
Lab Director JOHN FENTON

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