06D2231220 CLIA NUMBER - ROBERT RUSSELL EASTERN STAR MASONIC RETIREMENT

Laboratory Demographics

  • CLIA Code: 06D2231220
  • Facility Name: ROBERT RUSSELL EASTERN STAR MASONIC RETIREMENT
  • Facility Address: 2445 S QUEBEC ST
    DENVER, CO
    ZIP 80231
  • Facility Phone: 303 756-9489
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAWRENCE LILLO
  • NPI Number: 1063887990
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2231220
LAB Type Assisted Living Facility
Facility Name ROBERT RUSSELL EASTERN STAR MASONIC RETIREMENT
Street 2445 S QUEBEC ST
City DENVER
State CO
ZIP 80231
Phone 303 756-9489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Assisted Living Facility
Lab Director LAWRENCE LILLO

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