06D2057712 CLIA NUMBER - CHRIST CLINIC, INC

Laboratory Demographics

  • CLIA Code: 06D2057712
  • Facility Name: CHRIST CLINIC, INC
  • Facility Address: 3920 S SHIELDS
    FORT COLLINS, CO
    ZIP 80526
  • Facility Phone: 970 481-2390
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. KATE C. ODENWALD
  • NPI Number: 1265964704
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2057712
LAB Type Community Clinic
Facility Name CHRIST CLINIC, INC
Street 3920 S SHIELDS
City FORT COLLINS
State CO
ZIP 80526
Phone 970 481-2390
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 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Community Clinic
Lab Director DR. KATE C. ODENWALD

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