06D0515817 CLIA NUMBER - LONGS PEAK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 06D0515817
  • Facility Name: LONGS PEAK FAMILY PRACTICE
  • Facility Address: 1309 SUNSET ST
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 772-5578
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. REBECCA A. MYERS
  • NPI Number: 1477565380
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0515817
LAB Type Physician Office
Facility Name LONGS PEAK FAMILY PRACTICE
Street 1309 SUNSET ST
City LONGMONT
State CO
ZIP 80501
Phone 303 772-5578
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 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. REBECCA A. MYERS

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