06D2084905 CLIA NUMBER - NARCONON COLORADO-A LIFE WORTH SAVING

Laboratory Demographics

  • CLIA Code: 06D2084905
  • Facility Name: NARCONON COLORADO-A LIFE WORTH SAVING
  • Facility Address: 1225 REDWOOD ST
    FORT COLLINS, CO
    ZIP 80524
  • Facility Phone: 303 888-9592
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GLEN E. PETCAVAGE
  • NPI Number: 1477882504
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2084905
LAB Type Community Clinic
Facility Name NARCONON COLORADO-A LIFE WORTH SAVING
Street 1225 REDWOOD ST
City FORT COLLINS
State CO
ZIP 80524
Phone 303 888-9592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Community Clinic
Lab Director GLEN E. PETCAVAGE

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