06D2293220 CLIA NUMBER - CHASE INTEGRATED CARE

Laboratory Demographics

  • CLIA Code: 06D2293220
  • Facility Name: CHASE INTEGRATED CARE
  • Facility Address: 704 FORTINO BLVD. SUITE D
    PUEBLO, CO
    ZIP 81008
  • Facility Phone: 719 547-5138
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH L. CHASE
  • NPI Number: 1487422770
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 06D2293220
LAB Type Practitioner Other
Facility Name CHASE INTEGRATED CARE
Street 704 FORTINO BLVD. SUITE D
City PUEBLO
State CO
ZIP 81008
Phone 719 547-5138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Practitioner Other
Lab Director DEBORAH L. CHASE

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