06D1003735 CLIA NUMBER - BUTTON FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 06D1003735
  • Facility Name: BUTTON FAMILY PRACTICE PC
  • Facility Address: 715 SOUTH 9TH ST
    CANON CITY, CO
    ZIP 81212
  • Facility Phone: 719 269-8820
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JENNIFER K. BUTTON
  • NPI Number: 1144269739
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1003735
LAB Type Rural Health Clinic
Facility Name BUTTON FAMILY PRACTICE PC
Street 715 SOUTH 9TH ST
City CANON CITY
State CO
ZIP 81212
Phone 719 269-8820
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 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Rural Health Clinic
Lab Director JENNIFER K. BUTTON

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This page was last updated on: 3/20/2025