06D2114018 CLIA NUMBER - GRAND VALLEY OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 06D2114018
  • Facility Name: GRAND VALLEY OCCUPATIONAL MEDICINE
  • Facility Address: 2020 N 12TH STREET
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 970 256-6490
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DEAN HAVLIK
  • NPI Number: 1144616822
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 06D2114018
LAB Type Community Clinic
Facility Name GRAND VALLEY OCCUPATIONAL MEDICINE
Street 2020 N 12TH STREET
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 256-6490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Community Clinic
Lab Director DEAN HAVLIK

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