06D0514402 CLIA NUMBER - GREEN MOUNTAIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D0514402
  • Facility Name: GREEN MOUNTAIN PEDIATRICS
  • Facility Address: 255 UNION BLVD, STE 120
    LAKEWOOD, CO
    ZIP 80228
  • Facility Phone: 303 936-7415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAN SCHLOEGEL
  • NPI Number: 1669499489
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D0514402
LAB Type Physician Office
Facility Name GREEN MOUNTAIN PEDIATRICS
Street 255 UNION BLVD, STE 120
City LAKEWOOD
State CO
ZIP 80228
Phone 303 936-7415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director DR. DAN SCHLOEGEL

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