06D2231770 CLIA NUMBER - GOLDEN VALLEY

Laboratory Demographics

  • CLIA Code: 06D2231770
  • Facility Name: GOLDEN VALLEY
  • Facility Address: 1033 E EVANS
    PUEBLO, CO
    ZIP 81004
  • Facility Phone: 719 583-9132
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH MENDOZA
  • NPI Number: 1174037006
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2231770
LAB Type Assisted Living Facility
Facility Name GOLDEN VALLEY
Street 1033 E EVANS
City PUEBLO
State CO
ZIP 81004
Phone 719 583-9132
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

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