06D1050815 CLIA NUMBER - CLINICA DENVER

Laboratory Demographics

  • CLIA Code: 06D1050815
  • Facility Name: CLINICA DENVER
  • Facility Address: 1525 RALEIGH ST, UNIT 220
    DENVER, CO
    ZIP 80204
  • Facility Phone: 303 433-2565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAURICIO WAINTRUB
  • NPI Number: 1548758964
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1050815
LAB Type Physician Office
Facility Name CLINICA DENVER
Street 1525 RALEIGH ST, UNIT 220
City DENVER
State CO
ZIP 80204
Phone 303 433-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director MAURICIO WAINTRUB

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