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06D0995423 CLIA NUMBER - OPTUM COLORADO - WOODLAND PARK FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 06D0995423

Facility Name: OPTUM COLORADO - WOODLAND PARK FAMILY PRACTICE

Facility Address:
700 W HIGHWAY 24
WOODLAND PARK, CO
ZIP 80863
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Facility Phone Number: 719 687-6022

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1467083741

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 06D0995423
LAB Type Physician Office
Facility Name OPTUM COLORADO - WOODLAND PARK FAMILY PRACTICE
Street 700 W HIGHWAY 24
City WOODLAND PARK
State CO
ZIP 80863
Phone 719 687-6022
CertificateType 4
CertificateEffectiveDate 6/13/2022
CertificateExpirationDate 6/12/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024