06D2248934 CLIA NUMBER - LOTUS LODGE, LLC

Laboratory Demographics

  • CLIA Code: 06D2248934
  • Facility Name: LOTUS LODGE, LLC
  • Facility Address: 4130 TEJON ST, SUITE C
    DENVER, CO
    ZIP 80211
  • Facility Phone: 303 551-1610
  • Facility Type: Other - ADDICTION CLINIC
  • Facility Type: Waiver
  • Lab Director: GENE SHILING
  • NPI Number: 1548874308
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2248934
LAB Type Other - ADDICTION CLINIC
Facility Name LOTUS LODGE, LLC
Street 4130 TEJON ST, SUITE C
City DENVER
State CO
ZIP 80211
Phone 303 551-1610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Other - ADDICTION CLINIC
Lab Director GENE SHILING

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