06D0516000 CLIA NUMBER - NEPHROLOGY CLINIC, THE

Laboratory Demographics

  • CLIA Code: 06D0516000
  • Facility Name: NEPHROLOGY CLINIC, THE
  • Facility Address: 3351 EASTBROOK DR, UNIT 100
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 493-7733
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KEVIN D. MUELKEN
  • NPI Number: 1467084939
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0516000
LAB Type Physician Office
Facility Name NEPHROLOGY CLINIC, THE
Street 3351 EASTBROOK DR, UNIT 100
City FORT COLLINS
State CO
ZIP 80525
Phone 970 493-7733
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. KEVIN D. MUELKEN

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