06D1015602 CLIA NUMBER - TRI-COUNTY MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 06D1015602
  • Facility Name: TRI-COUNTY MEDICAL CENTER PC
  • Facility Address: 720 AUSTIN AVE SUITE 103
    ERIE, CO
    ZIP 80516
  • Facility Phone: (303) 828-9355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. SPINE
  • NPI Number: 1720272297
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1015602
LAB Type Physician Office
Facility Name TRI-COUNTY MEDICAL CENTER PC
Street 720 AUSTIN AVE SUITE 103
City ERIE
State CO
ZIP 80516
Phone 3038289355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director JOHN M. SPINE

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This page was last updated on: 5/18/2026