06D2061063 CLIA NUMBER - PEDIATRICS 5280, PC

Laboratory Demographics

  • CLIA Code: 06D2061063
  • Facility Name: PEDIATRICS 5280, PC
  • Facility Address: 2352 MEADOWS BLVD, STE 150
    CASTLE ROCK, CO
    ZIP 80109
  • Facility Phone: 303 779-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JULIE C. DECKERMAN
  • NPI Number: 1134545395
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D2061063
LAB Type Physician Office
Facility Name PEDIATRICS 5280, PC
Street 2352 MEADOWS BLVD, STE 150
City CASTLE ROCK
State CO
ZIP 80109
Phone 303 779-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director DR. JULIE C. DECKERMAN

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