06D2276692 CLIA NUMBER - GRAND VALLEY IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 06D2276692
  • Facility Name: GRAND VALLEY IMAGING CENTER
  • Facility Address: 2351 G ROAD
    GRAND JUNCTION, CO
    ZIP 81505
  • Facility Phone: 970 644-3232
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN KAPTUCH
  • NPI Number: 1124475132
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 06D2276692
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GRAND VALLEY IMAGING CENTER
Street 2351 G ROAD
City GRAND JUNCTION
State CO
ZIP 81505
Phone 970 644-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JUSTIN KAPTUCH

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