06D2138076 CLIA NUMBER - MEDPHONE RX, LLC

Laboratory Demographics

  • CLIA Code: 06D2138076
  • Facility Name: MEDPHONE RX, LLC
  • Facility Address: 219 W MAGNOLIA ST
    FORT COLLINS, CO
    ZIP 80521
  • Facility Phone: 720 771-6292
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EVELYN B. HU
  • NPI Number: 1568978229
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2138076
LAB Type Practitioner Other
Facility Name MEDPHONE RX, LLC
Street 219 W MAGNOLIA ST
City FORT COLLINS
State CO
ZIP 80521
Phone 720 771-6292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Practitioner Other
Lab Director EVELYN B. HU

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