06D2308353 CLIA NUMBER - ESSENTIAL ELEMENTS PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 06D2308353
  • Facility Name: ESSENTIAL ELEMENTS PRIMARY CARE, PLLC
  • Facility Address: 2501 KACHINA DR
    PUEBLO, CO
    ZIP 81008
  • Facility Phone: (719) 465-5992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDI L. OLSON

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CLIA Record

Field Name Field Value
CLIA Number 06D2308353
LAB Type Physician Office
Facility Name ESSENTIAL ELEMENTS PRIMARY CARE, PLLC
Street 2501 KACHINA DR
City PUEBLO
State CO
ZIP 81008
Phone 7194655992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director BRANDI L. OLSON

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This page was last updated on: 5/18/2026