06D2069723 CLIA NUMBER - SOUTH DENVER PHYSICIANS, PLLC

Laboratory Demographics

  • CLIA Code: 06D2069723
  • Facility Name: SOUTH DENVER PHYSICIANS, PLLC
  • Facility Address: 13111 E BRIARWOOD AVE, STE 370
    CENTENNIAL, CO
    ZIP 80112
  • Facility Phone: (720) 441-4410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DMITRIY I. PALES
  • NPI Number: 1124463161
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2069723
LAB Type Physician Office
Facility Name SOUTH DENVER PHYSICIANS, PLLC
Street 13111 E BRIARWOOD AVE, STE 370
City CENTENNIAL
State CO
ZIP 80112
Phone 7204414410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2025
Certificate Expiration Date 12/1/2027
Facility Type Physician Office
Lab Director DR. DMITRIY I. PALES

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