06D0988028 CLIA NUMBER - SMALL WORLD PEDIATRIC LLC

Laboratory Demographics

  • CLIA Code: 06D0988028
  • Facility Name: SMALL WORLD PEDIATRIC LLC
  • Facility Address: 332 S ORCHARD SPRINGS DR STE 150
    PUEBLO WEST, CO
    ZIP 81007
  • Facility Phone: 719 253-7640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAPHNE D. BRADLEY
  • NPI Number: 1619059722
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D0988028
LAB Type Physician Office
Facility Name SMALL WORLD PEDIATRIC LLC
Street 332 S ORCHARD SPRINGS DR STE 150
City PUEBLO WEST
State CO
ZIP 81007
Phone 719 253-7640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director DAPHNE D. BRADLEY

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