06D2260002 CLIA NUMBER - SOLVISTA HEALTH REGIONAL ASSESSMENT CENTER

Laboratory Demographics

CLIA Number: 06D2260002

Facility Name: SOLVISTA HEALTH REGIONAL ASSESSMENT CENTER

Facility Address:
7166 COUNTY ROAD 154
SALIDA, CO
ZIP 81201
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Facility Phone Number: 719 276-5488

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1992451116

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2260002
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	SOLVISTA HEALTH REGIONAL ASSESSMENT CENTER
Street	7166 COUNTY ROAD 154
City	SALIDA
State	CO
ZIP	81201
Phone	719 276-5488
CertificateType	4
CertificateEffectiveDate	5/13/2024
CertificateExpirationDate	5/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024