06D1004461 CLIA NUMBER - DENVER WEST PEDIATRICS PC

Laboratory Demographics

CLIA Number: 06D1004461

Facility Name: DENVER WEST PEDIATRICS PC

Facility Address:
13772 DENVER WEST PARKWAY BLDG 55 #250
GOLDEN, CO
ZIP 80401
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Facility Phone Number: 303 216-0333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528064276

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1004461
LAB Type	Physician Office
Facility Name	DENVER WEST PEDIATRICS PC
Street	13772 DENVER WEST PARKWAY BLDG 55 #250
City	GOLDEN
State	CO
ZIP	80401
Phone	303 216-0333
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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