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PUEBLO REGIONAL CENTER
NPI 1043759541
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pueblo, CO

Active since February 16, 2017CLIA 06D2338181 · Waiver
614 S CLARION DR, PUEBLO, CO 81007(719) 585-4001(719) 585-4030 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Jul 3, 2021, Feb 16, 2017 (3 updates tracked since 2017).

About Pueblo Regional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO REGIONAL CENTER (NPI 1043759541) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, Colorado and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists J R Demaria, Director, as its authorized official.

NPPES Registry Identity

NPI1043759541
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePUEBLO REGIONAL CENTER
Location Address614 S CLARION DRPueblo, CO 81007-1524
Mailing Address270 W John Powell BlvdPueblo, CO 81007-1775 · (719) 585-4001 · Fax (719) 585-4030
Phone(719) 585-4001
Fax(719) 585-4030
Organization SubpartNo
Authorized OfficialJ R DemariaDirector · (719) 747-5249
Enumeration DateFebruary 16, 2017
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1043759541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
614 S CLARION DR, Pueblo, CO 81007
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2338181

Pueblo Regional Center · Pueblo West, CO
Active · expires Feb 5, 2028
CLIA Number06D2338181
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorBarry Martin
Laboratory Phone(719) 585-4001
Laboratory LocationPueblo Regional Center270 W John Powell Blvd, Pueblo West, CO 81007
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Regional Center's NPI number?

The NPI number for Pueblo Regional Center is 1043759541. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Pueblo Regional Center located?

Pueblo Regional Center is located at 614 S Clarion Dr, Pueblo, CO 81007. The listed phone number is (719) 585-4001.

What is Pueblo Regional Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Pueblo Regional Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2338181) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pueblo Regional Center was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.