06D2320166 CLIA NUMBER - MOUNT EVANS HOME HEALTH CARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 06D2320166
  • Facility Name: MOUNT EVANS HOME HEALTH CARE AND HOSPICE
  • Facility Address: 3081 BERGEN PEAK DR
    EVERGREEN, CO
    ZIP 80439
  • Facility Phone: 303 674-6400
  • Facility Type: Other - HOPSICE & HOME HEALTH
  • Facility Type: Waiver
  • Lab Director: JAMIE WILSON
  • NPI Number: 1962920207
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2320166
LAB Type Other - HOPSICE & HOME HEALTH
Facility Name MOUNT EVANS HOME HEALTH CARE AND HOSPICE
Street 3081 BERGEN PEAK DR
City EVERGREEN
State CO
ZIP 80439
Phone 303 674-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Other - HOPSICE & HOME HEALTH
Lab Director JAMIE WILSON

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