06D2269142 CLIA NUMBER - WELLINGTON OBGYN CLINIC

Laboratory Demographics

CLIA Number: 06D2269142

Facility Name: WELLINGTON OBGYN CLINIC

Facility Address:
2525 N 8TH ST, SUITE 202
GRAND JUNCTION, CO
ZIP 81501
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Facility Phone Number: 970 245-1168

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1013002088

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D2269142
LAB Type	Physician Office
Facility Name	WELLINGTON OBGYN CLINIC
Street	2525 N 8TH ST, SUITE 202
City	GRAND JUNCTION
State	CO
ZIP	81501
Phone	970 245-1168
CertificateType	3
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	PPMP

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