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06D2282536 CLIA NUMBER - COMMUNITY CARE OF THE GRAND VALLEY PALISADE

Laboratory Demographics

CLIA Number: 06D2282536

Facility Name: COMMUNITY CARE OF THE GRAND VALLEY PALISADE

Facility Address:
731 IOWA STREET, SUITE A
PALISADE, CO
ZIP 81526
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Facility Phone Number: 970 644-4060

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1205473550

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 06D2282536
LAB Type Physician Office
Facility Name COMMUNITY CARE OF THE GRAND VALLEY PALISADE
Street 731 IOWA STREET, SUITE A
City PALISADE
State CO
ZIP 81526
Phone 970 644-4060
CertificateType 3
CertificateEffectiveDate 5/23/2023
CertificateExpirationDate 5/22/2025
FacilityType PPMP

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