06D2121694 CLIA NUMBER - WHOLE HEALTH FAMILY MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 06D2121694
  • Facility Name: WHOLE HEALTH FAMILY MEDICINE CLINIC
  • Facility Address: 1305 ESCALANTE DRIVE, SUITE 205
    DURANGO, CO
    ZIP 81301
  • Facility Phone: 970 259-1971
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARASSA D. YEOMANS-SCHAEFER
  • NPI Number: 1497119515
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2121694
LAB Type Physician Office
Facility Name WHOLE HEALTH FAMILY MEDICINE CLINIC
Street 1305 ESCALANTE DRIVE, SUITE 205
City DURANGO
State CO
ZIP 81301
Phone 970 259-1971
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 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director KARASSA D. YEOMANS-SCHAEFER

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This page was last updated on: 6/4/2025