06D0510278 CLIA NUMBER - NORTHWEST FAMILY MEDICAL ASSOCIATES, ENDOCRINOLOGY ASSOCIATES OF BCH

Laboratory Demographics

  • CLIA Code: 06D0510278
  • Facility Name: NORTHWEST FAMILY MEDICAL ASSOCIATES, ENDOCRINOLOGY ASSOCIATES OF BCH
  • Facility Address: 3 SUPERIOR DR, STE 100 B
    SUPERIOR, CO
    ZIP 80027
  • Facility Phone: 303 415-8940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON H. SMOUSE
  • NPI Number: 1629154828
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 06D0510278
LAB Type Physician Office
Facility Name NORTHWEST FAMILY MEDICAL ASSOCIATES, ENDOCRINOLOGY ASSOCIATES OF BCH
Street 3 SUPERIOR DR, STE 100 B
City SUPERIOR
State CO
ZIP 80027
Phone 303 415-8940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director DR. JASON H. SMOUSE

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