06D2289969 CLIA NUMBER - LA JUNTA HEALTH SERVICE DISTRICT BDA BLUESTEM VILLAGE

Laboratory Demographics

  • CLIA Code: 06D2289969
  • Facility Name: LA JUNTA HEALTH SERVICE DISTRICT BDA BLUESTEM VILLAGE
  • Facility Address: 1 DARLENE DRIVE
    LA JUNTA, CO
    ZIP 81050
  • Facility Phone: 719 363-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA R. HERNANDEZ
  • NPI Number: 1245411909
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2289969
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LA JUNTA HEALTH SERVICE DISTRICT BDA BLUESTEM VILLAGE
Street 1 DARLENE DRIVE
City LA JUNTA
State CO
ZIP 81050
Phone 719 363-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARA R. HERNANDEZ

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