06D2119485 CLIA NUMBER - LA PLATA COUNTY DETENTION CENTER

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Laboratory Demographics

CLIA Number: 06D2119485

Facility Name: LA PLATA COUNTY DETENTION CENTER

Facility Address:
742 TURNER DR
DURANGO, CO
ZIP 81303
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1154828853

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	06D2119485
LAB Type	Other - JAIL MEDICAL UNIT
Facility Name	LA PLATA COUNTY DETENTION CENTER
Street	742 TURNER DR
City	DURANGO
State	CO
ZIP	81303
Phone	423 553-5635
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024