06D0913765 CLIA NUMBER - BOULDER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D0913765
  • Facility Name: BOULDER MEDICAL CENTER
  • Facility Address: 2750 BROADWAY ATTN - MELISSA JOHNSON
    BOULDER, CO
    ZIP 80304
  • Facility Phone: 303 440-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KAREN M. ANDREWS
  • NPI Number: 1073146833
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D0913765
LAB Type Physician Office
Facility Name BOULDER MEDICAL CENTER
Street 2750 BROADWAY ATTN - MELISSA JOHNSON
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 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director DR. KAREN M. ANDREWS

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