06D1060680 CLIA NUMBER - PASSPORT HEALTH COLORADO

Laboratory Demographics

  • CLIA Code: 06D1060680
  • Facility Name: PASSPORT HEALTH COLORADO
  • Facility Address: 405 URBAN STREET, SUITE 320
    LAKEWOOD, CO
    ZIP 80228
  • Facility Phone: 303 442-8728
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE D. REESMAN
  • NPI Number: 1518089994
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 06D1060680
LAB Type Practitioner Other
Facility Name PASSPORT HEALTH COLORADO
Street 405 URBAN STREET, SUITE 320
City LAKEWOOD
State CO
ZIP 80228
Phone 303 442-8728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Practitioner Other
Lab Director MICHELLE D. REESMAN

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