06D1003738 CLIA NUMBER - ASPEN LEAF INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 06D1003738
  • Facility Name: ASPEN LEAF INTERNAL MEDICINE PC
  • Facility Address: 751 HORISON CT SUITE 202
    GRAND JUNCTION, CO
    ZIP 81506
  • Facility Phone: 970 242-4145
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY A. KING
  • NPI Number: 1629260237
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1003738
LAB Type Physician Office
Facility Name ASPEN LEAF INTERNAL MEDICINE PC
Street 751 HORISON CT SUITE 202
City GRAND JUNCTION
State CO
ZIP 81506
Phone 970 242-4145
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 Physician Office
Lab Director KELLY A. KING

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