06D0683027 CLIA NUMBER - ROSE INTERNAL MEDICINE & DIABETES

Laboratory Demographics

  • CLIA Code: 06D0683027
  • Facility Name: ROSE INTERNAL MEDICINE & DIABETES
  • Facility Address: 4545 E 9TH AVE #370
    DENVER, CO
    ZIP 80220
  • Facility Phone: 303 320-7340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM KUBASKA
  • NPI Number: 1790992238
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0683027
LAB Type Physician Office
Facility Name ROSE INTERNAL MEDICINE & DIABETES
Street 4545 E 9TH AVE #370
City DENVER
State CO
ZIP 80220
Phone 303 320-7340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WILLIAM KUBASKA

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