06D1078619 CLIA NUMBER - HEALTH IMAGES AT LONGMONT

Laboratory Demographics

  • CLIA Code: 06D1078619
  • Facility Name: HEALTH IMAGES AT LONGMONT
  • Facility Address: 1551 PROFESSIONAL LANE, SUITE 155
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 720 494-4777
  • Facility Type: Other - OUTPATIENT IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA TOVERA
  • NPI Number: 1629527494
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 06D1078619
LAB Type Other - OUTPATIENT IMAGING CENTER
Facility Name HEALTH IMAGES AT LONGMONT
Street 1551 PROFESSIONAL LANE, SUITE 155
City LONGMONT
State CO
ZIP 80501
Phone 720 494-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Other - Outpatient Imaging Center
Lab Director DR. JESSICA TOVERA

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