06D0877567 CLIA NUMBER - OPTUM PRIMARY CARE LITTLETON

Laboratory Demographics

  • CLIA Code: 06D0877567
  • Facility Name: OPTUM PRIMARY CARE LITTLETON
  • Facility Address: 8199 SOUTH PARK LANE, SUITE 100
    LITTLETON, CO
    ZIP 80120
  • Facility Phone: 303 730-3332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON K. PEREIRA
  • NPI Number: 1730102641
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0877567
LAB Type Physician Office
Facility Name OPTUM PRIMARY CARE LITTLETON
Street 8199 SOUTH PARK LANE, SUITE 100
City LITTLETON
State CO
ZIP 80120
Phone 303 730-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director JASON K. PEREIRA

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