06D2144225 CLIA NUMBER - RENEW DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 06D2144225
  • Facility Name: RENEW DERMATOLOGY
  • Facility Address: 60 MAIN ST, SUITES F,G,& H
    FRISCO, CO
    ZIP 80443
  • Facility Phone: 970 409-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT D. BENNION
  • NPI Number: 1205368453
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2144225
LAB Type Physician Office
Facility Name RENEW DERMATOLOGY
Street 60 MAIN ST, SUITES F,G,& H
City FRISCO
State CO
ZIP 80443
Phone 970 409-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. SCOTT D. BENNION

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