06D2241089 CLIA NUMBER - RUSTIC ROSE ASSISTED LIVING, LLC

Laboratory Demographics

  • CLIA Code: 06D2241089
  • Facility Name: RUSTIC ROSE ASSISTED LIVING, LLC
  • Facility Address: 6666 S PINEYCREEK CIRCLE
    CENTENNIAL, CO
    ZIP 80016
  • Facility Phone: 303 923-5253
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ROSE JOHNSON
  • NPI Number: 1578912234
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2241089
LAB Type Assisted Living Facility
Facility Name RUSTIC ROSE ASSISTED LIVING, LLC
Street 6666 S PINEYCREEK CIRCLE
City CENTENNIAL
State CO
ZIP 80016
Phone 303 923-5253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Assisted Living Facility
Lab Director ROSE JOHNSON

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