06D0514729 CLIA NUMBER - ALPINE MEDICAL GROUP CO DBA - PEAK PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 06D0514729
  • Facility Name: ALPINE MEDICAL GROUP CO DBA - PEAK PRIMARY CARE, PLLC
  • Facility Address: 11990 GRANT ST SUITE 302
    THORNTON, CO
    ZIP 80233
  • Facility Phone: (303) 452-2766
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANN IMHOF
  • NPI Number: 1295900991
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D0514729
LAB Type Physician Office
Facility Name ALPINE MEDICAL GROUP CO DBA - PEAK PRIMARY CARE, PLLC
Street 11990 GRANT ST SUITE 302
City THORNTON
State CO
ZIP 80233
Phone 3034522766
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 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DR. ANN IMHOF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026