06D2290602 CLIA NUMBER - HIGH PLAINS MEDICAL LLC CBA WB DRUG

Laboratory Demographics

  • CLIA Code: 06D2290602
  • Facility Name: HIGH PLAINS MEDICAL LLC CBA WB DRUG
  • Facility Address: 314 14TH STREET
    BURLINGTON, CO
    ZIP 80807
  • Facility Phone: 719 346-8851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RILEY O. HOLMES
  • NPI Number: 1467580720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2290602
LAB Type Pharmacy
Facility Name HIGH PLAINS MEDICAL LLC CBA WB DRUG
Street 314 14TH STREET
City BURLINGTON
State CO
ZIP 80807
Phone 719 346-8851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director RILEY O. HOLMES

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