06D2096531 CLIA NUMBER - EVERSIDE HEALTH DENVER STATE CAPITAL CLINIC

Laboratory Demographics

  • CLIA Code: 06D2096531
  • Facility Name: EVERSIDE HEALTH DENVER STATE CAPITAL CLINIC
  • Facility Address: 230 EAST 13TH AVE
    DENVER, CO
    ZIP 80203
  • Facility Phone: 704 529-6161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. STEPHEN C. WILLS
  • NPI Number: 1053785600
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2096531
LAB Type Physician Office
Facility Name EVERSIDE HEALTH DENVER STATE CAPITAL CLINIC
Street 230 EAST 13TH AVE
City DENVER
State CO
ZIP 80203
Phone 704 529-6161
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director DR. STEPHEN C. WILLS

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