06D2136757 CLIA NUMBER - BANNER HEALTH PHYSICIANS COLORADO

Laboratory Demographics

  • CLIA Code: 06D2136757
  • Facility Name: BANNER HEALTH PHYSICIANS COLORADO
  • Facility Address: 1900 NORTH BOISE AVE SUITE 200
    LOVELAND, CO
    ZIP 80538
  • Facility Phone: 970 820-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON HATCH
  • NPI Number: 1154793131
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2136757
LAB Type Physician Office
Facility Name BANNER HEALTH PHYSICIANS COLORADO
Street 1900 NORTH BOISE AVE SUITE 200
City LOVELAND
State CO
ZIP 80538
Phone 970 820-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director DR. JASON HATCH

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