06D0515730 CLIA NUMBER - MARK W HINMAN MD

Laboratory Demographics

  • CLIA Code: 06D0515730
  • Facility Name: MARK W HINMAN MD
  • Facility Address: 1350 TULIP
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 776-6872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HINMAN
  • NPI Number: 1750385415
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0515730
LAB Type Physician Office
Facility Name MARK W HINMAN MD
Street 1350 TULIP
City LONGMONT
State CO
ZIP 80501
Phone 303 776-6872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director MARK HINMAN

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