06D0514912 CLIA NUMBER - GUNBARREL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 06D0514912
  • Facility Name: GUNBARREL FAMILY MEDICINE
  • Facility Address: 6685 GUNPARK DRIVE, SUITE 110
    BOULDER, CO
    ZIP 80301
  • Facility Phone: 303 415-7599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON SMOUSE
  • NPI Number: 1871603621
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 06D0514912
LAB Type Physician Office
Facility Name GUNBARREL FAMILY MEDICINE
Street 6685 GUNPARK DRIVE, SUITE 110
City BOULDER
State CO
ZIP 80301
Phone 303 415-7599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director JASON SMOUSE

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