06D1064719 CLIA NUMBER - MIRAMONT FAMILY MEDICINE - PARKER

Laboratory Demographics

  • CLIA Code: 06D1064719
  • Facility Name: MIRAMONT FAMILY MEDICINE - PARKER
  • Facility Address: 9251 20 MILE RD
    PARKER, CO
    ZIP 80134
  • Facility Phone: 303 805-5528
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN L. BENDER
  • NPI Number: 1104199660
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1064719
LAB Type Physician Office
Facility Name MIRAMONT FAMILY MEDICINE - PARKER
Street 9251 20 MILE RD
City PARKER
State CO
ZIP 80134
Phone 303 805-5528
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director DR. JOHN L. BENDER

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