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06D0874222 CLIA NUMBER - VMD PROVIDERS COLORADO PLLC CASTLE ROCK

Laboratory Demographics

CLIA Number: 06D0874222

Facility Name: VMD PROVIDERS COLORADO PLLC CASTLE ROCK

Facility Address:
755 S PERRY ST STE 100
CASTLE ROCK, CO
ZIP 80104
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Facility Phone Number: 303 688-8989

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386795656

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 06D0874222
LAB Type Physician Office
Facility Name VMD PROVIDERS COLORADO PLLC CASTLE ROCK
Street 755 S PERRY ST STE 100
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 688-8989
CertificateType 4
CertificateEffectiveDate 7/2/2022
CertificateExpirationDate 7/1/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024