06D1053245 CLIA NUMBER - OPTUM COLORADO - PARK RIDGE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 06D1053245
  • Facility Name: OPTUM COLORADO - PARK RIDGE FAMILY MEDICINE
  • Facility Address: 9695 S YOSEMITE ST, STE 324
    LONE TREE, CO
    ZIP 80124
  • Facility Phone: 303 706-9054
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH A. BAKER
  • NPI Number: 1972111979
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D1053245
LAB Type Physician Office
Facility Name OPTUM COLORADO - PARK RIDGE FAMILY MEDICINE
Street 9695 S YOSEMITE ST, STE 324
City LONE TREE
State CO
ZIP 80124
Phone 303 706-9054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director DR. ELIZABETH A. BAKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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