06D2274107 CLIA NUMBER - RIVER'S EDGE PAIN SPECIALISTS, PLLC

Laboratory Demographics

  • CLIA Code: 06D2274107
  • Facility Name: RIVER'S EDGE PAIN SPECIALISTS, PLLC
  • Facility Address: 2249 BROADWAY SUITE 8
    GRAND JUNCTION, CO
    ZIP 81507
  • Facility Phone: 970 314-7094
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HEATHER J. SMITH
  • NPI Number: 1699423921
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2274107
LAB Type Practitioner Other
Facility Name RIVER'S EDGE PAIN SPECIALISTS, PLLC
Street 2249 BROADWAY SUITE 8
City GRAND JUNCTION
State CO
ZIP 81507
Phone 970 314-7094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Practitioner Other
Lab Director HEATHER J. SMITH

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