06D2232996 CLIA NUMBER - WELLINGTON NEUROSURGERY CLINIC

Laboratory Demographics

  • CLIA Code: 06D2232996
  • Facility Name: WELLINGTON NEUROSURGERY CLINIC
  • Facility Address: 750 WELLINGTON AVE, STE 3A
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 970 298-3169
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN WITWER
  • NPI Number: 1356765556
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 06D2232996
LAB Type Physician Office
Facility Name WELLINGTON NEUROSURGERY CLINIC
Street 750 WELLINGTON AVE, STE 3A
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 298-3169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director DR. BRIAN WITWER

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