06D0513831 CLIA NUMBER - DENVER INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 06D0513831
  • Facility Name: DENVER INTERNAL MEDICINE
  • Facility Address: 4545 E 9TH AVE #400
    DENVER, CO
    ZIP 80220
  • Facility Phone: 303 320-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAURABH MANGALIK
  • NPI Number: 1609916741
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0513831
LAB Type Physician Office
Facility Name DENVER INTERNAL MEDICINE
Street 4545 E 9TH AVE #400
City DENVER
State CO
ZIP 80220
Phone 303 320-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director SAURABH MANGALIK

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