06D2240434 CLIA NUMBER - TRAILHEAD CLINICS - GRAND JUNCTION

Laboratory Demographics

  • CLIA Code: 06D2240434
  • Facility Name: TRAILHEAD CLINICS - GRAND JUNCTION
  • Facility Address: 235 NORTH 7TH ST
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 970 644-5999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT T. BOYER
  • NPI Number: 1851936686
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2240434
LAB Type Physician Office
Facility Name TRAILHEAD CLINICS - GRAND JUNCTION
Street 235 NORTH 7TH ST
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 644-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director DR. ROBERT T. BOYER

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This page was last updated on: 6/4/2025