06D2260749 CLIA NUMBER - FLOURISH SUPPORTIVE LIVING AT 63RD

Laboratory Demographics

  • CLIA Code: 06D2260749
  • Facility Name: FLOURISH SUPPORTIVE LIVING AT 63RD
  • Facility Address: 8010 WEST 63RD AVE
    ARVADA, CO
    ZIP 80004
  • Facility Phone: 303 803-6977
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TARA DESHANO
  • NPI Number: 1295217511
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2260749
LAB Type Assisted Living Facility
Facility Name FLOURISH SUPPORTIVE LIVING AT 63RD
Street 8010 WEST 63RD AVE
City ARVADA
State CO
ZIP 80004
Phone 303 803-6977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Assisted Living Facility
Lab Director TARA DESHANO

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