06D2140166 CLIA NUMBER - TAKE TWO HEALTH, PC

Laboratory Demographics

  • CLIA Code: 06D2140166
  • Facility Name: TAKE TWO HEALTH, PC
  • Facility Address: 417 PEARL STREET
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 557-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LETO QUARLES
  • NPI Number: 1720503139
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2140166
LAB Type Physician Office
Facility Name TAKE TWO HEALTH, PC
Street 417 PEARL STREET
City BOULDER
State CO
ZIP 80302
Phone 303 557-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director DR. LETO QUARLES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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