06D2314676 CLIA NUMBER - FAMILY CARE CENTER - FORT COLLINS

Laboratory Demographics

  • CLIA Code: 06D2314676
  • Facility Name: FAMILY CARE CENTER - FORT COLLINS
  • Facility Address: 3351 EASTBROOK DR, SUITE 200
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 303 537-8152
  • Facility Type: Other - BEHAVORIAL HEALTH
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES WEBER
  • NPI Number: 1043717382
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 06D2314676
LAB Type Other - BEHAVORIAL HEALTH
Facility Name FAMILY CARE CENTER - FORT COLLINS
Street 3351 EASTBROOK DR, SUITE 200
City FORT COLLINS
State CO
ZIP 80525
Phone 303 537-8152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Other - BEHAVORIAL HEALTH
Lab Director DR. CHARLES WEBER

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