06D2083179 CLIA NUMBER - PENRAD IMAGING

Laboratory Demographics

  • CLIA Code: 06D2083179
  • Facility Name: PENRAD IMAGING
  • Facility Address: 17230 JACKSON CREEK PKWY, STE 160
    MONUMENT, CO
    ZIP 80132
  • Facility Phone: 719 785-9000
  • Facility Type: Other - FREE STANDING IMAGING
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. SAXTON
  • NPI Number: 1730780172
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2083179
LAB Type Other - FREE STANDING IMAGING
Facility Name PENRAD IMAGING
Street 17230 JACKSON CREEK PKWY, STE 160
City MONUMENT
State CO
ZIP 80132
Phone 719 785-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - FREE STANDING IMAGING
Lab Director TIMOTHY J. SAXTON

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