06D1025276 CLIA NUMBER - CENTENNIAL PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 06D1025276
  • Facility Name: CENTENNIAL PEDIATRICS, PC
  • Facility Address: 15464 EAST ORCHARD ROAD
    CENTENNIAL, CO
    ZIP 80016
  • Facility Phone: 303 680-5437
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHELLE K. STANFORD
  • NPI Number: 1972773612
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D1025276
LAB Type Physician Office
Facility Name CENTENNIAL PEDIATRICS, PC
Street 15464 EAST ORCHARD ROAD
City CENTENNIAL
State CO
ZIP 80016
Phone 303 680-5437
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 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director DR. MICHELLE K. STANFORD

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