06D2001494 CLIA NUMBER - SPINE WEST LLC

Laboratory Demographics

  • CLIA Code: 06D2001494
  • Facility Name: SPINE WEST LLC
  • Facility Address: 5387 MANHATTAN CIR STE 200
    BOULDER, CO
    ZIP 80303
  • Facility Phone: 303 494-7773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. TOBEY
  • NPI Number: 1780298307
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 06D2001494
LAB Type Physician Office
Facility Name SPINE WEST LLC
Street 5387 MANHATTAN CIR STE 200
City BOULDER
State CO
ZIP 80303
Phone 303 494-7773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director JOHN E. TOBEY

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