06D2231234 CLIA NUMBER - MACKENZIE PLACE - FORT COLLINS

Laboratory Demographics

  • CLIA Code: 06D2231234
  • Facility Name: MACKENZIE PLACE - FORT COLLINS
  • Facility Address: 4750 PLEASANT OAK DRIVE
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 206 436-7827
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN M. WALKER
  • NPI Number: 1306450077
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 06D2231234
LAB Type Assisted Living Facility
Facility Name MACKENZIE PLACE - FORT COLLINS
Street 4750 PLEASANT OAK DRIVE
City FORT COLLINS
State CO
ZIP 80525
Phone 206 436-7827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Assisted Living Facility
Lab Director SUSAN M. WALKER

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