06D2029243 CLIA NUMBER - MOUNTAIN SPINE & PAIN PHYSICIANS

Laboratory Demographics

  • CLIA Code: 06D2029243
  • Facility Name: MOUNTAIN SPINE & PAIN PHYSICIANS
  • Facility Address: 2373 CENTRAL PARK BLVD STE 303
    DENVER, CO
    ZIP 80238
  • Facility Phone: 720 220-7857
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN J. FULLER
  • NPI Number: 1215179304
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 06D2029243
LAB Type Physician Office
Facility Name MOUNTAIN SPINE & PAIN PHYSICIANS
Street 2373 CENTRAL PARK BLVD STE 303
City DENVER
State CO
ZIP 80238
Phone 720 220-7857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director DR. BRIAN J. FULLER

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