06D0511368 CLIA NUMBER - ELIZABETH FAMILY HEALTH PC

Laboratory Demographics

  • CLIA Code: 06D0511368
  • Facility Name: ELIZABETH FAMILY HEALTH PC
  • Facility Address: PO BOX 397
    ELIZABETH, CO
    ZIP 80107
  • Facility Phone: 303 646-5820
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: AMILDA HECKMAN
  • NPI Number: 1942404777
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0511368
LAB Type Community Clinic
Facility Name ELIZABETH FAMILY HEALTH PC
Street PO BOX 397
City ELIZABETH
State CO
ZIP 80107
Phone 303 646-5820
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director AMILDA HECKMAN

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This page was last updated on: 6/4/2025