06D0519507 CLIA NUMBER - GUY J KOVACEVICH MD PC

Laboratory Demographics

  • CLIA Code: 06D0519507
  • Facility Name: GUY J KOVACEVICH MD PC
  • Facility Address: 142 BEAVER CREEK PLACE - 112
    AVON, CO
    ZIP 81620
  • Facility Phone: 970 949-5434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUY J. KOVACEVICH
  • NPI Number: 1376629428
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0519507
LAB Type Physician Office
Facility Name GUY J KOVACEVICH MD PC
Street 142 BEAVER CREEK PLACE - 112
City AVON
State CO
ZIP 81620
Phone 970 949-5434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director GUY J. KOVACEVICH

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