06D2048766 CLIA NUMBER - FAMILY HEALTH WEST ARTHRITIS AND RHEUMATOLOGY

Home > CLIA Lookup > 06D2048766

Laboratory Demographics

CLIA Number: 06D2048766

Facility Name: FAMILY HEALTH WEST ARTHRITIS AND RHEUMATOLOGY

Facility Address:
576 KOKOPELLI BLVD, UNIT D-E
FRUITA, CO
ZIP 81521
Get Directions

Facility Phone Number: 970 858-2164

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215535943

Taxonomy: 261QI0500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2048766
LAB Type	Physician Office
Facility Name	FAMILY HEALTH WEST ARTHRITIS AND RHEUMATOLOGY
Street	576 KOKOPELLI BLVD, UNIT D-E
City	FRUITA
State	CO
ZIP	81521
Phone	970 858-2164
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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