06D2234940 CLIA NUMBER - ASPEN LEAF ASSISTED LIVING - CIRCLE LANE

Laboratory Demographics

CLIA Number: 06D2234940

Facility Name: ASPEN LEAF ASSISTED LIVING - CIRCLE LANE

Facility Address:
1750 CIRCLE LANE
LIMON, CO
ZIP 80828
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Facility Phone Number: 719 975-9031

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1710673421

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	06D2234940
LAB Type	Assisted Living Facility
Facility Name	ASPEN LEAF ASSISTED LIVING - CIRCLE LANE
Street	1750 CIRCLE LANE
City	LIMON
State	CO
ZIP	80828
Phone	719 975-9031
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024