06D2160577 CLIA NUMBER - GRAND VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D2160577
  • Facility Name: GRAND VALLEY PEDIATRICS
  • Facility Address: 601 28 1/4 ROAD
    GRAND JUNCTION, CO
    ZIP 81506
  • Facility Phone: 970 263-2670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEAN HAVLIK
  • NPI Number: 1730505702
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2160577
LAB Type Physician Office
Facility Name GRAND VALLEY PEDIATRICS
Street 601 28 1/4 ROAD
City GRAND JUNCTION
State CO
ZIP 81506
Phone 970 263-2670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director DR. DEAN HAVLIK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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