06D2123458 CLIA NUMBER - NEWELLDIXON, PLLC DBA - FAMILY HEALTH CARE

Laboratory Demographics

CLIA Number: 06D2123458

Facility Name: NEWELLDIXON, PLLC DBA - FAMILY HEALTH CARE

Facility Address:
691 CR 233, UNIT A-3
DURANGO, CO
ZIP 81301
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Facility Phone Number: 970 475-4300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467811224

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 06D2123458
LAB Type Physician Office
Facility Name NEWELLDIXON, PLLC DBA - FAMILY HEALTH CARE
Street 691 CR 233, UNIT A-3
City DURANGO
State CO
ZIP 81301
Phone 970 475-4300
CertificateType 4
CertificateEffectiveDate 12/21/2022
CertificateExpirationDate 12/20/2024
FacilityType Waiver

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