06D2074219 CLIA NUMBER - GRAND VALLEY PRIMARY CARE - III

Laboratory Demographics

  • CLIA Code: 06D2074219
  • Facility Name: GRAND VALLEY PRIMARY CARE - III
  • Facility Address: 2478 PATTERSON, UNIT 27
    GRAND JUNCTION, CO
    ZIP 81505
  • Facility Phone: 970 644-4300
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DR. TIFFANY SMITH
  • NPI Number: 1114564952
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2074219
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GRAND VALLEY PRIMARY CARE - III
Street 2478 PATTERSON, UNIT 27
City GRAND JUNCTION
State CO
ZIP 81505
Phone 970 644-4300
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 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. TIFFANY SMITH

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