06D2130041 CLIA NUMBER - MAINSTREET PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D2130041
  • Facility Name: MAINSTREET PEDIATRICS
  • Facility Address: 9235 CROWN CREST BLVD STE 100
    PARKER, CO
    ZIP 80138
  • Facility Phone: 720 458-6543
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORRI PHIPPS
  • NPI Number: 1720511058
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D2130041
LAB Type Physician Office
Facility Name MAINSTREET PEDIATRICS
Street 9235 CROWN CREST BLVD STE 100
City PARKER
State CO
ZIP 80138
Phone 720 458-6543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director LORRI PHIPPS

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