06D1063832 CLIA NUMBER - FLATIRONS PRIMARY CARE & SPORTS MEDICINE

Laboratory Demographics

  • CLIA Code: 06D1063832
  • Facility Name: FLATIRONS PRIMARY CARE & SPORTS MEDICINE
  • Facility Address: 777 29TH ST SUITE 301
    BOULDER, CO
    ZIP 80303
  • Facility Phone: 303 440-8243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STANLEY K. JACK
  • NPI Number: 1447318225
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1063832
LAB Type Physician Office
Facility Name FLATIRONS PRIMARY CARE & SPORTS MEDICINE
Street 777 29TH ST SUITE 301
City BOULDER
State CO
ZIP 80303
Phone 303 440-8243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director DR. STANLEY K. JACK

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This page was last updated on: 6/4/2025