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06D2087347 CLIA NUMBER - INGENIOUS PERSONALIZED MEDICINE

Laboratory Demographics

CLIA Number: 06D2087347

Facility Name: INGENIOUS PERSONALIZED MEDICINE

Facility Address:
9218 KIMMER DRIVE, SUITE 200
LONE TREE, CO
ZIP 80124
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Facility Phone Number: 303 802-3474

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1982318671

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 06D2087347
LAB Type Independent
Facility Name INGENIOUS PERSONALIZED MEDICINE
Street 9218 KIMMER DRIVE, SUITE 200
City LONE TREE
State CO
ZIP 80124
Phone 303 802-3474
CertificateType 1
CertificateEffectiveDate 11/17/2023
CertificateExpirationDate 11/16/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024