06D0705624 CLIA NUMBER - CASTLE ROCK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D0705624
  • Facility Name: CASTLE ROCK PEDIATRICS
  • Facility Address: 1001 S PERRY ST STE 101B
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 303 688-2228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RITA E. THIEME
  • NPI Number: 1548289614
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0705624
LAB Type Physician Office
Facility Name CASTLE ROCK PEDIATRICS
Street 1001 S PERRY ST STE 101B
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 688-2228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DR. RITA E. THIEME

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