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06D2042363 CLIA NUMBER - WESTERN COLORADO PEDIATRICS

Laboratory Demographics

CLIA Number: 06D2042363

Facility Name: WESTERN COLORADO PEDIATRICS

Facility Address:
456 KOKEPELLI DR
FRUITA, CO
ZIP 81521
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Facility Phone Number: 970 243-5437

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326399361

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 06D2042363
LAB Type Physician Office
Facility Name WESTERN COLORADO PEDIATRICS
Street 456 KOKEPELLI DR
City FRUITA
State CO
ZIP 81521
Phone 970 243-5437
CertificateType 4
CertificateEffectiveDate 6/11/2022
CertificateExpirationDate 6/10/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024