06D2120193 CLIA NUMBER - ADVANCED DERMATOLOGY OF COLORADO

Laboratory Demographics

  • CLIA Code: 06D2120193
  • Facility Name: ADVANCED DERMATOLOGY OF COLORADO
  • Facility Address: 3726 S TIMBERLINE RD, STE 101
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: (970) 221-2626
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANN LISA HULTSCH

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2120193
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF COLORADO
Street 3726 S TIMBERLINE RD, STE 101
City FORT COLLINS
State CO
ZIP 80525
Phone 9702212626
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 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director DR. ANN LISA HULTSCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026