06D1051480 CLIA NUMBER - BROOMFIELD CLINIC

Laboratory Demographics

  • CLIA Code: 06D1051480
  • Facility Name: BROOMFIELD CLINIC
  • Facility Address: 12169 SHERIDAN BLVD
    BROOMFIELD, CO
    ZIP 80020
  • Facility Phone: (303) 603-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW LIEBENTRITT
  • NPI Number: 1497367213
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1051480
LAB Type Physician Office
Facility Name BROOMFIELD CLINIC
Street 12169 SHERIDAN BLVD
City BROOMFIELD
State CO
ZIP 80020
Phone 3036039400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. MATTHEW LIEBENTRITT

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