06D2043555 CLIA NUMBER - UROLOGY CLINIC PC

Laboratory Demographics

  • CLIA Code: 06D2043555
  • Facility Name: UROLOGY CLINIC PC
  • Facility Address: MIDDLE PARK MEDICAL CENTER 1000 GRANBY PARK DR S
    GRANBY, CO
    ZIP 80446
  • Facility Phone: (970) 871-9710
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMIE L. VAN OVEREN
  • NPI Number: 1073676052
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 06D2043555
LAB Type Physician Office
Facility Name UROLOGY CLINIC PC
Street MIDDLE PARK MEDICAL CENTER 1000 GRANBY PARK DR S
City GRANBY
State CO
ZIP 80446
Phone 9708719710
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 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director DR. JAMIE L. VAN OVEREN

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This page was last updated on: 5/18/2026