06D0907634 CLIA NUMBER - DENVER WEST CLINIC - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D0907634
  • Facility Name: DENVER WEST CLINIC - PRIMARY CARE
  • Facility Address: 1726 COLE BLVD, SUITE 350
    LAKEWOOD, CO
    ZIP 80401
  • Facility Phone: 303 403-7381
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TISH R. LANDRUM
  • NPI Number: 1114531522
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D0907634
LAB Type Physician Office
Facility Name DENVER WEST CLINIC - PRIMARY CARE
Street 1726 COLE BLVD, SUITE 350
City LAKEWOOD
State CO
ZIP 80401
Phone 303 403-7381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director TISH R. LANDRUM

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