06D1078507 CLIA NUMBER - CONCENTRA SOUTH BROADWAY

Laboratory Demographics

  • CLIA Code: 06D1078507
  • Facility Name: CONCENTRA SOUTH BROADWAY
  • Facility Address: 1212 SOUTH BROADWAY SUITE 150
    DENVER, CO
    ZIP 80210
  • Facility Phone: 303 777-2777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN E. DANAHEY
  • NPI Number: 1043499676
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1078507
LAB Type Physician Office
Facility Name CONCENTRA SOUTH BROADWAY
Street 1212 SOUTH BROADWAY SUITE 150
City DENVER
State CO
ZIP 80210
Phone 303 777-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director DR. STEPHEN E. DANAHEY

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