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06D2121590 CLIA NUMBER - MAGNOLIA MEDICAL GROUP

Laboratory Demographics

CLIA Number: 06D2121590

Facility Name: MAGNOLIA MEDICAL GROUP

Facility Address:
10515 EAST 40TH AVE SUITE 115
DENVER, CO
ZIP 80239
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Facility Phone Number: 303 209-5115

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1427543586

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 06D2121590
LAB Type Physician Office
Facility Name MAGNOLIA MEDICAL GROUP
Street 10515 EAST 40TH AVE SUITE 115
City DENVER
State CO
ZIP 80239
Phone 303 209-5115
CertificateType 1
CertificateEffectiveDate 7/28/2023
CertificateExpirationDate 7/27/2025
FacilityType Accreditation

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