06D1080065 CLIA NUMBER - ADVANCED INTEGRATIVE MEDICINE PC

Laboratory Demographics

  • CLIA Code: 06D1080065
  • Facility Name: ADVANCED INTEGRATIVE MEDICINE PC
  • Facility Address: 10455 PARK MEADOWS DR BLDG 1 STE 102
    LONE TREE, CO
    ZIP 80124
  • Facility Phone: 303 708-0246
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RANDALL L. SNOOK
  • NPI Number: 1003008897
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D1080065
LAB Type Physician Office
Facility Name ADVANCED INTEGRATIVE MEDICINE PC
Street 10455 PARK MEADOWS DR BLDG 1 STE 102
City LONE TREE
State CO
ZIP 80124
Phone 303 708-0246
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 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director DR. RANDALL L. SNOOK

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