06D2064621 CLIA NUMBER - ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT HIGHLANDS RANCH

Laboratory Demographics

CLIA Code: 06D2064621
Facility Name: ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT HIGHLANDS RANCH
Facility Address: 9137 S RIDGELINE BLVD, SUITE 100
HIGHLANDS RANCH, CO
ZIP 80129
Facility Phone: (303) 649-3140
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: DR. RICHARD DREXELIUS

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CLIA Record

Field Name	Field Value
CLIA Number	06D2064621
LAB Type	Physician Office
Facility Name	ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT HIGHLANDS RANCH
Street	9137 S RIDGELINE BLVD, SUITE 100
City	HIGHLANDS RANCH
State	CO
ZIP	80129
Phone	3036493140
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	8/23/2025
Certificate Expiration Date	8/22/2027
Facility Type	Physician Office
Lab Director	DR. RICHARD DREXELIUS

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