06D1070365 CLIA NUMBER - PEDIATRICS WEST (SOUTHWEST OFFICE)

Laboratory Demographics

  • CLIA Code: 06D1070365
  • Facility Name: PEDIATRICS WEST (SOUTHWEST OFFICE)
  • Facility Address: 13402 E COALMINE AVE #200
    LITTLETON, CO
    ZIP 80127
  • Facility Phone: 720 284-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN FUDGE-ERICKSON, MD
  • NPI Number: 1275559569
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1070365
LAB Type Physician Office
Facility Name PEDIATRICS WEST (SOUTHWEST OFFICE)
Street 13402 E COALMINE AVE #200
City LITTLETON
State CO
ZIP 80127
Phone 720 284-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2023
Certificate Expiration Date 6/26/2025
Facility Type Physician Office
Lab Director SUSAN FUDGE-ERICKSON, MD

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