06D2231941 CLIA NUMBER - INSPIRATION FIELD

Laboratory Demographics

CLIA Code: 06D2231941
Facility Name: INSPIRATION FIELD
Facility Address: 612 ADAMS AVE
LA JUNTA, CO
ZIP 81050
Facility Phone: 719 384-8741
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: DEANNA N. LIDDLE
NPI Number: 1659822195
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	06D2231941
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	INSPIRATION FIELD
Street	612 ADAMS AVE
City	LA JUNTA
State	CO
ZIP	81050
Phone	719 384-8741
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/9/2025
Certificate Expiration Date	8/8/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	DEANNA N. LIDDLE

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