06D0512777 CLIA NUMBER - ADVANCED DERMATOLOGY OF COLORADO

Laboratory Demographics

  • CLIA Code: 06D0512777
  • Facility Name: ADVANCED DERMATOLOGY OF COLORADO
  • Facility Address: 155 S MADISON ST, STE 226
    DENVER, CO
    ZIP 80209
  • Facility Phone: 303 322-7789
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CARL DEMIDOVICH
  • NPI Number: 1861662207
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 06D0512777
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF COLORADO
Street 155 S MADISON ST, STE 226
City DENVER
State CO
ZIP 80209
Phone 303 322-7789
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director DR. CARL DEMIDOVICH

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