06D2231763 CLIA NUMBER - GOLDEN GATE MANOR

Laboratory Demographics

  • CLIA Code: 06D2231763
  • Facility Name: GOLDEN GATE MANOR
  • Facility Address: 606 W ABRIENDO
    PUEBLO, CO
    ZIP 81004
  • Facility Phone: (719) 583-9132
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH MENDOZA
  • NPI Number: 1831312339
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2231763
LAB Type Assisted Living Facility
Facility Name GOLDEN GATE MANOR
Street 606 W ABRIENDO
City PUEBLO
State CO
ZIP 81004
Phone 7195839132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Assisted Living Facility
Lab Director JOSEPH MENDOZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026