06D2070518 CLIA NUMBER - FOUNDATION HEALTH

Laboratory Demographics

  • CLIA Code: 06D2070518
  • Facility Name: FOUNDATION HEALTH
  • Facility Address: 1949 PEARL STREET
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 449-0517
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC HERNANDEZ
  • NPI Number: 1821415407
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2070518
LAB Type Physician Office
Facility Name FOUNDATION HEALTH
Street 1949 PEARL STREET
City BOULDER
State CO
ZIP 80302
Phone 303 449-0517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director DR. ERIC HERNANDEZ

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