06D2323821 CLIA NUMBER - VIDA PLENA WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 06D2323821
  • Facility Name: VIDA PLENA WELLNESS, LLC
  • Facility Address: 81 W 84TH AVE, SUITE 165
    THORNTON, CO
    ZIP 80260
  • Facility Phone: 720 272-1323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALMA SILVA GUTIERREZ
  • NPI Number: 1063200053
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2323821
LAB Type Physician Office
Facility Name VIDA PLENA WELLNESS, LLC
Street 81 W 84TH AVE, SUITE 165
City THORNTON
State CO
ZIP 80260
Phone 720 272-1323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director ALMA SILVA GUTIERREZ

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