06D2238123 CLIA NUMBER - COTTONWOOD RIDGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 06D2238123
  • Facility Name: COTTONWOOD RIDGE ASSISTED LIVING
  • Facility Address: 1122 S 12TH ST
    ROCKY FORD, CO
    ZIP 81067
  • Facility Phone: (719) 254-3667
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAYLA VAN DYK
  • NPI Number: 1437110509
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2238123
LAB Type Assisted Living Facility
Facility Name COTTONWOOD RIDGE ASSISTED LIVING
Street 1122 S 12TH ST
City ROCKY FORD
State CO
ZIP 81067
Phone 7192543667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Assisted Living Facility
Lab Director SHAYLA VAN DYK

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This page was last updated on: 6/29/2026