06D2231778 CLIA NUMBER - BRAINCARE, LLC - OASIS HOUSE

Laboratory Demographics

  • CLIA Code: 06D2231778
  • Facility Name: BRAINCARE, LLC - OASIS HOUSE
  • Facility Address: 972 S PURCELL BLVD
    PUEBLO WEST, CO
    ZIP 81007
  • Facility Phone: 719 332-1365
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS STAVES
  • NPI Number: 1902493380
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2231778
LAB Type Assisted Living Facility
Facility Name BRAINCARE, LLC - OASIS HOUSE
Street 972 S PURCELL BLVD
City PUEBLO WEST
State CO
ZIP 81007
Phone 719 332-1365
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 THOMAS STAVES

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