06D1060685 CLIA NUMBER - PET IMAGING XVIII, LP DBA - PET IMAGING OF NORTHERN COLORADO

Laboratory Demographics

  • CLIA Code: 06D1060685
  • Facility Name: PET IMAGING XVIII, LP DBA - PET IMAGING OF NORTHERN COLORADO
  • Facility Address: 1915 WILMINGTON DRIVE, SUITE 101
    FORT COLLINS, CO
    ZIP 80528
  • Facility Phone: 970 204-0202
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROBERT RHYMER
  • NPI Number: 1679526800
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1060685
LAB Type Practitioner Other
Facility Name PET IMAGING XVIII, LP DBA - PET IMAGING OF NORTHERN COLORADO
Street 1915 WILMINGTON DRIVE, SUITE 101
City FORT COLLINS
State CO
ZIP 80528
Phone 970 204-0202
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 ROBERT RHYMER

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