06D0870647 CLIA NUMBER - BOULDER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D0870647
  • Facility Name: BOULDER MEDICAL CENTER
  • Facility Address: 4745 ARAPAHOE AVE, STE 200
    BOULDER, CO
    ZIP 80304
  • Facility Phone: 303 440-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KATHRYN HOCH
  • NPI Number: 1174156939
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0870647
LAB Type Physician Office
Facility Name BOULDER MEDICAL CENTER
Street 4745 ARAPAHOE AVE, STE 200
City BOULDER
State CO
ZIP 80304
Phone 303 440-3000
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. KATHRYN HOCH

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