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06D2140156 CLIA NUMBER - ADVANCED DERMATOLOGY OF COLORADO

Laboratory Demographics

CLIA Number: 06D2140156

Facility Name: ADVANCED DERMATOLOGY OF COLORADO

Facility Address:
4344 WOODLANDS BLVD, SUITE 160
CASTLE ROCK, CO
ZIP 80104
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Facility Phone Number: 407 284-3407

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1164600714

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 06D2140156
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF COLORADO
Street 4344 WOODLANDS BLVD, SUITE 160
City CASTLE ROCK
State CO
ZIP 80104
Phone 407 284-3407
CertificateType 1
CertificateEffectiveDate 2/10/2024
CertificateExpirationDate 2/9/2026
FacilityType Accreditation

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