06D2112960 CLIA NUMBER - ALPINE MEDICAL & SPECIALTY PRACTICES LLC

Laboratory Demographics

  • CLIA Code: 06D2112960
  • Facility Name: ALPINE MEDICAL & SPECIALTY PRACTICES LLC
  • Facility Address: 117 NAVAJO TRAIL DR STE Z
    PAGOSA SPRINGS, CO
    ZIP 81147
  • Facility Phone: 970 507-3030
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TABITHA G. ZAPPONE
  • NPI Number: 1760847008
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 06D2112960
LAB Type Rural Health Clinic
Facility Name ALPINE MEDICAL & SPECIALTY PRACTICES LLC
Street 117 NAVAJO TRAIL DR STE Z
City PAGOSA SPRINGS
State CO
ZIP 81147
Phone 970 507-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Rural Health Clinic
Lab Director TABITHA G. ZAPPONE

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