06D2163033 CLIA NUMBER - CENTER AT CENTERPLACE, LLC

Laboratory Demographics

  • CLIA Code: 06D2163033
  • Facility Name: CENTER AT CENTERPLACE, LLC
  • Facility Address: 4356 24TH STREET ROAD
    GREELEY, CO
    ZIP 80634
  • Facility Phone: 719 900-1398
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ESMAS BARTOLOME
  • NPI Number: 1285233171
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2163033
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTER AT CENTERPLACE, LLC
Street 4356 24TH STREET ROAD
City GREELEY
State CO
ZIP 80634
Phone 719 900-1398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ESMAS BARTOLOME

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