06D2251686 CLIA NUMBER - LA PLATA FAMILY CENTERS COALITION

Laboratory Demographics

  • CLIA Code: 06D2251686
  • Facility Name: LA PLATA FAMILY CENTERS COALITION
  • Facility Address: 495 FLORIDA ROAD
    DURANGO, CO
    ZIP 81301
  • Facility Phone: 970 385-4747
  • Facility Type: Other - COMMUNITY FOOD BANK
  • Facility Type: Waiver
  • Lab Director: MARIEL BALBUENA
  • NPI Number: 1689137754
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 06D2251686
LAB Type Other - COMMUNITY FOOD BANK
Facility Name LA PLATA FAMILY CENTERS COALITION
Street 495 FLORIDA ROAD
City DURANGO
State CO
ZIP 81301
Phone 970 385-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Other - COMMUNITY FOOD BANK
Lab Director MARIEL BALBUENA

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