06D0962274 CLIA NUMBER - ACADEMY PARK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 06D0962274
  • Facility Name: ACADEMY PARK FAMILY PRACTICE
  • Facility Address: 7373 W JEFFERSON AVE #201
    LAKEWOOD, CO
    ZIP 80235
  • Facility Phone: 720 962-9840
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT M. GREEN
  • NPI Number: 1801882105
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D0962274
LAB Type Physician Office
Facility Name ACADEMY PARK FAMILY PRACTICE
Street 7373 W JEFFERSON AVE #201
City LAKEWOOD
State CO
ZIP 80235
Phone 720 962-9840
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 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director SCOTT M. GREEN

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