06D2304642 CLIA NUMBER - BANNER HEALTH PHYSICIANS COLORADO LLC

Laboratory Demographics

  • CLIA Code: 06D2304642
  • Facility Name: BANNER HEALTH PHYSICIANS COLORADO LLC
  • Facility Address: 1405 S 8TH AVE, SUITE 101
    STERLING, CO
    ZIP 80751
  • Facility Phone: 970 522-2264
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA BERG
  • NPI Number: 1891069019
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2304642
LAB Type Physician Office
Facility Name BANNER HEALTH PHYSICIANS COLORADO LLC
Street 1405 S 8TH AVE, SUITE 101
City STERLING
State CO
ZIP 80751
Phone 970 522-2264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director BARBARA BERG

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