06D2097300 CLIA NUMBER - EVERSIDE HEALTH- DTC CENTRUM HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 06D2097300
  • Facility Name: EVERSIDE HEALTH- DTC CENTRUM HEALTHCARE CENTER
  • Facility Address: 8200 EAST BELLEVIEW ST, SUITE 418C
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Facility Phone: 704 529-6161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LAURAN SIEWERT
  • NPI Number: 1912372681
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2097300
LAB Type Physician Office
Facility Name EVERSIDE HEALTH- DTC CENTRUM HEALTHCARE CENTER
Street 8200 EAST BELLEVIEW ST, SUITE 418C
City GREENWOOD VILLAGE
State CO
ZIP 80111
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 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director DR. LAURAN SIEWERT

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