06D2197201 CLIA NUMBER - CAPPELLA OF PUEBLO WEST

Laboratory Demographics

  • CLIA Code: 06D2197201
  • Facility Name: CAPPELLA OF PUEBLO WEST
  • Facility Address: 170 S DACONA DRIVE
    PUEBLO WEST, CO
    ZIP 81007
  • Facility Phone: 719 547-2538
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KENDRA M. CRITES
  • NPI Number: 1295395358
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2197201
LAB Type Assisted Living Facility
Facility Name CAPPELLA OF PUEBLO WEST
Street 170 S DACONA DRIVE
City PUEBLO WEST
State CO
ZIP 81007
Phone 719 547-2538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Assisted Living Facility
Lab Director KENDRA M. CRITES

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