06D2293794 CLIA NUMBER - TAFOYA FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 06D2293794
  • Facility Name: TAFOYA FAMILY PRACTICE, LLC
  • Facility Address: 416 COLORADO AVE
    PUEBLO, CO
    ZIP 81004
  • Facility Phone: 719 924-9128
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESUSITA E. TAFOYA
  • NPI Number: 1275210759
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2293794
LAB Type Practitioner Other
Facility Name TAFOYA FAMILY PRACTICE, LLC
Street 416 COLORADO AVE
City PUEBLO
State CO
ZIP 81004
Phone 719 924-9128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Practitioner Other
Lab Director JESUSITA E. TAFOYA

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