06D1090674 CLIA NUMBER - HEALTH IMAGES AT SOUTH POTOMAC

Laboratory Demographics

  • CLIA Code: 06D1090674
  • Facility Name: HEALTH IMAGES AT SOUTH POTOMAC
  • Facility Address: 1300 SOUTH POTOMAC STREET SUITE 110
    AURORA, CO
    ZIP 80012
  • Facility Phone: 303 750-8400
  • Facility Type: Other - OUTPT RADIOLOGY FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. SAMANTHA GALLEGOS
  • NPI Number: 1649455536
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 06D1090674
LAB Type Other - OUTPT RADIOLOGY FACILITY
Facility Name HEALTH IMAGES AT SOUTH POTOMAC
Street 1300 SOUTH POTOMAC STREET SUITE 110
City AURORA
State CO
ZIP 80012
Phone 303 750-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Other - OUTPT RADIOLOGY FACILITY
Lab Director DR. SAMANTHA GALLEGOS

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