06D2046919 CLIA NUMBER - MOUNTAINTOP DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 06D2046919
  • Facility Name: MOUNTAINTOP DERMATOLOGY PLLC
  • Facility Address: 2465 RESEARCH PKWY STE 200
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 265-0100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANK M. SAMARIN
  • NPI Number: 1699021386
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 06D2046919
LAB Type Physician Office
Facility Name MOUNTAINTOP DERMATOLOGY PLLC
Street 2465 RESEARCH PKWY STE 200
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 265-0100
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 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director FRANK M. SAMARIN

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