06D1047695 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT LANDMARK

Laboratory Demographics

  • CLIA Code: 06D1047695
  • Facility Name: ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT LANDMARK
  • Facility Address: 5351 S ROSLYN ST, SUITE 200
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Facility Phone: 303 770-6500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SYDNEY DITTMAN
  • NPI Number: 1770194045
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1047695
LAB Type Physician Office
Facility Name ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT LANDMARK
Street 5351 S ROSLYN ST, SUITE 200
City GREENWOOD VILLAGE
State CO
ZIP 80111
Phone 303 770-6500
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director DR. SYDNEY DITTMAN

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