06D2228859 CLIA NUMBER - EAGLETAIL HEALTH CARE, LLC

Laboratory Demographics

  • CLIA Code: 06D2228859
  • Facility Name: EAGLETAIL HEALTH CARE, LLC
  • Facility Address: 109 4TH STREET
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 303 217-6684
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALEXIO SIPIRIANO
  • NPI Number: 1912525148
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D2228859
LAB Type Home Health Agency
Facility Name EAGLETAIL HEALTH CARE, LLC
Street 109 4TH STREET
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 217-6684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Home Health Agency
Lab Director ALEXIO SIPIRIANO

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