06D2230304 CLIA NUMBER - BANNER OCCUPATIONAL HEALTH COLORADO, LLC

Laboratory Demographics

  • CLIA Code: 06D2230304
  • Facility Name: BANNER OCCUPATIONAL HEALTH COLORADO, LLC
  • Facility Address: 1517 16TH AVE COURT, 1ST FLOOR - MOBILE
    GREELEY, CO
    ZIP 80631
  • Facility Phone: 970 810-6810
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. RON TEICHMAN
  • NPI Number: 1295978724
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2230304
LAB Type Mobile Laboratory
Facility Name BANNER OCCUPATIONAL HEALTH COLORADO, LLC
Street 1517 16TH AVE COURT, 1ST FLOOR - MOBILE
City GREELEY
State CO
ZIP 80631
Phone 970 810-6810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Mobile Laboratory
Lab Director DR. RON TEICHMAN

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