06D1075086 CLIA NUMBER - BRADLEY W SMITH DO

Laboratory Demographics

  • CLIA Code: 06D1075086
  • Facility Name: BRADLEY W SMITH DO
  • Facility Address: 44 BRIARGATE TERRACE
    PUEBLO, CO
    ZIP 81001
  • Facility Phone: 719 546-6300
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DR. BRADLEY W. SMITH
  • NPI Number: 1336191915
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1075086
LAB Type Practitioner Other
Facility Name BRADLEY W SMITH DO
Street 44 BRIARGATE TERRACE
City PUEBLO
State CO
ZIP 81001
Phone 719 546-6300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Practitioner Other
Lab Director DR. BRADLEY W. SMITH

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