06D0895949 CLIA NUMBER - JACKIE L MCCOLLUM, MD, PC

Laboratory Demographics

  • CLIA Code: 06D0895949
  • Facility Name: JACKIE L MCCOLLUM, MD, PC
  • Facility Address: 12101 E 2ND AVE, STE 105
    AURORA, CO
    ZIP 80011
  • Facility Phone: 720 535-6204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKIE L. MCCOLLUM
  • NPI Number: 1063066256
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D0895949
LAB Type Physician Office
Facility Name JACKIE L MCCOLLUM, MD, PC
Street 12101 E 2ND AVE, STE 105
City AURORA
State CO
ZIP 80011
Phone 720 535-6204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JACKIE L. MCCOLLUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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