06D2270649 CLIA NUMBER - MT CARMEL WELLNESS AND COMMUNITY CENTER

Laboratory Demographics

  • CLIA Code: 06D2270649
  • Facility Name: MT CARMEL WELLNESS AND COMMUNITY CENTER
  • Facility Address: 911 ROBINSON AVE
    TRINIDAD, CO
    ZIP 81082
  • Facility Phone: 719 845-4873
  • Facility Type: Other - NON PROFIT
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. DIPAOLA
  • NPI Number: 1043584253
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 06D2270649
LAB Type Other - NON PROFIT
Facility Name MT CARMEL WELLNESS AND COMMUNITY CENTER
Street 911 ROBINSON AVE
City TRINIDAD
State CO
ZIP 81082
Phone 719 845-4873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Other - NON PROFIT
Lab Director MICHAEL S. DIPAOLA

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