06D1092467 CLIA NUMBER - ROCKY MOUNTAIN DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 06D1092467
  • Facility Name: ROCKY MOUNTAIN DERMATOLOGY, PC
  • Facility Address: 2400 SPRUCE STREET STE 101
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 444-0833
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LISA H. SCATENA
  • NPI Number: 1174776009
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D1092467
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN DERMATOLOGY, PC
Street 2400 SPRUCE STREET STE 101
City BOULDER
State CO
ZIP 80302
Phone 303 444-0833
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 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director DR. LISA H. SCATENA

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