06D1028422 CLIA NUMBER - UCHEALTH CARBON VALLEY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 06D1028422
  • Facility Name: UCHEALTH CARBON VALLEY MEDICAL CENTER
  • Facility Address: 11083 COLORADO BLVD
    FIRESTONE, CO
    ZIP 80520
  • Facility Phone: 303 776-1234
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT V. NOUHAN
  • NPI Number: 1770048845
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1028422
LAB Type Physician Office
Facility Name UCHEALTH CARBON VALLEY MEDICAL CENTER
Street 11083 COLORADO BLVD
City FIRESTONE
State CO
ZIP 80520
Phone 303 776-1234
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 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director DR. ROBERT V. NOUHAN

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