06D2263777 CLIA NUMBER - COLORADO LIONS CAMP

Laboratory Demographics

CLIA Number: 06D2263777

Facility Name: COLORADO LIONS CAMP

Facility Address:
28541 HIGHWAY 67N
WOODLAND PARK, CO
ZIP 80863
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Facility Phone Number: 719 687-2087

Facility Type: Other - SUMMER CAMP

Certificate Type: Waiver

NPI Number: 1255788402

Taxonomy: 385HR2050X - Respite Care
A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

CLIA Record

Field Name	Field Value
CLIA Number	06D2263777
LAB Type	Other - SUMMER CAMP
Facility Name	COLORADO LIONS CAMP
Street	28541 HIGHWAY 67N
City	WOODLAND PARK
State	CO
ZIP	80863
Phone	719 687-2087
CertificateType	4
CertificateEffectiveDate	7/5/2022
CertificateExpirationDate	7/4/2024
FacilityType	Waiver

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