06D0990812 CLIA NUMBER - PEDIATRIC PARTNERS OF GLENWOOD

Laboratory Demographics

  • CLIA Code: 06D0990812
  • Facility Name: PEDIATRIC PARTNERS OF GLENWOOD
  • Facility Address: 1905 BLAKE AVE, SUITE 201
    GLENWOOD SPRINGS, CO
    ZIP 81601
  • Facility Phone: 970 947-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID M. BROOKS
  • NPI Number: 1417162876
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D0990812
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS OF GLENWOOD
Street 1905 BLAKE AVE, SUITE 201
City GLENWOOD SPRINGS
State CO
ZIP 81601
Phone 970 947-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director DR. DAVID M. BROOKS

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