06D0716514 CLIA NUMBER - TED J PULS MD PC

Laboratory Demographics

  • CLIA Code: 06D0716514
  • Facility Name: TED J PULS MD PC
  • Facility Address: 1619 N GREENWOOD ST SUITE 208
    PUEBLO, CO
    ZIP 81003
  • Facility Phone: 719 561-4336
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TED J. PULS
  • NPI Number: 1245283134
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0716514
LAB Type Physician Office
Facility Name TED J PULS MD PC
Street 1619 N GREENWOOD ST SUITE 208
City PUEBLO
State CO
ZIP 81003
Phone 719 561-4336
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. TED J. PULS

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