06D2169852 CLIA NUMBER - GENERATIONS PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 06D2169852
  • Facility Name: GENERATIONS PRIMARY CARE, LLC
  • Facility Address: 44 E SPAULDING AVE, #6
    PUEBLO WEST, CO
    ZIP 81007
  • Facility Phone: 719 281-1605
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SCOTT M. DAVIDSON
  • NPI Number: 1194590372
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2169852
LAB Type Physician Office
Facility Name GENERATIONS PRIMARY CARE, LLC
Street 44 E SPAULDING AVE, #6
City PUEBLO WEST
State CO
ZIP 81007
Phone 719 281-1605
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 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director DR. SCOTT M. DAVIDSON

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