06D2071508 CLIA NUMBER - BOULDER MOBILE ACUTE CARE

Laboratory Demographics

  • CLIA Code: 06D2071508
  • Facility Name: BOULDER MOBILE ACUTE CARE
  • Facility Address: 1871 FOLSOM ST STE 104
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 569-9938
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SPENCER M. KING
  • NPI Number: 1265866065
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2071508
LAB Type Physician Office
Facility Name BOULDER MOBILE ACUTE CARE
Street 1871 FOLSOM ST STE 104
City BOULDER
State CO
ZIP 80302
Phone 303 569-9938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director DR. SPENCER M. KING

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