06D0510501 CLIA NUMBER - ROCKY MOUNTAIN INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 06D0510501

Facility Name: ROCKY MOUNTAIN INTERNAL MEDICINE

Facility Address:
1360 S POTOMAC ST
AURORA, CO
ZIP 80012
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Facility Phone Number: 303 337-5575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417221748

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D0510501
LAB Type	Physician Office
Facility Name	ROCKY MOUNTAIN INTERNAL MEDICINE
Street	1360 S POTOMAC ST
City	AURORA
State	CO
ZIP	80012
Phone	303 337-5575
CertificateType	4
CertificateEffectiveDate	2/15/2024
CertificateExpirationDate	2/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024