06D1011213 CLIA NUMBER - WOMENS HEALTH WISE LLC

Laboratory Demographics

  • CLIA Code: 06D1011213
  • Facility Name: WOMENS HEALTH WISE LLC
  • Facility Address: 630 15TH AVE
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 776-5820
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIM R. LANE
  • NPI Number: 1205006533
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 06D1011213
LAB Type Physician Office
Facility Name WOMENS HEALTH WISE LLC
Street 630 15TH AVE
City LONGMONT
State CO
ZIP 80501
Phone 303 776-5820
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 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director KIM R. LANE

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