06D1012242 CLIA NUMBER - NEW WEST PHYSICIANS CLINICAL RESEARCH

Laboratory Demographics

CLIA Number: 06D1012242

Facility Name: NEW WEST PHYSICIANS CLINICAL RESEARCH

Facility Address:
1687 COLE BLVD SUITE 155
GOLDEN, CO
ZIP 80401
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Facility Phone Number: 303 785-5992

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255949442

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1012242
LAB Type	Physician Office
Facility Name	NEW WEST PHYSICIANS CLINICAL RESEARCH
Street	1687 COLE BLVD SUITE 155
City	GOLDEN
State	CO
ZIP	80401
Phone	303 785-5992
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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