06D2207929 CLIA NUMBER - KEYSTONE FEDERAL, LLC DBA - KEYSTONE PLACE AT LEGACY RIDGE

Laboratory Demographics

  • CLIA Code: 06D2207929
  • Facility Name: KEYSTONE FEDERAL, LLC DBA - KEYSTONE PLACE AT LEGACY RIDGE
  • Facility Address: 11150 IRVING DRIVE
    WESTMINSTER, CO
    ZIP 80031
  • Facility Phone: 303 465-5600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHALITA ALLEN
  • NPI Number: 1518583509
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2207929
LAB Type Assisted Living Facility
Facility Name KEYSTONE FEDERAL, LLC DBA - KEYSTONE PLACE AT LEGACY RIDGE
Street 11150 IRVING DRIVE
City WESTMINSTER
State CO
ZIP 80031
Phone 303 465-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Assisted Living Facility
Lab Director SHALITA ALLEN

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