06D1077396 CLIA NUMBER - PINON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 06D1077396
  • Facility Name: PINON FAMILY PRACTICE
  • Facility Address: 9895 W REMINGTON PL
    LITTLETON, CO
    ZIP 80128
  • Facility Phone: 303 948-2676
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMARA S. WILSON MD
  • NPI Number: 1194942854
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1077396
LAB Type Physician Office
Facility Name PINON FAMILY PRACTICE
Street 9895 W REMINGTON PL
City LITTLETON
State CO
ZIP 80128
Phone 303 948-2676
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 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director TAMARA S. WILSON MD

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