06D1023646 CLIA NUMBER - CONCENTRA - LAKEWOOD

Laboratory Demographics

  • CLIA Code: 06D1023646
  • Facility Name: CONCENTRA - LAKEWOOD
  • Facility Address: 11185 W 6TH AVE
    LAKEWOOD, CO
    ZIP 80215
  • Facility Phone: (303) 239-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TED VILLAVICENCIO
  • NPI Number: 1316325509
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1023646
LAB Type Physician Office
Facility Name CONCENTRA - LAKEWOOD
Street 11185 W 6TH AVE
City LAKEWOOD
State CO
ZIP 80215
Phone 3032396060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2026
Certificate Expiration Date 4/27/2028
Facility Type Physician Office
Lab Director DR. TED VILLAVICENCIO

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