06D2148473 CLIA NUMBER - CASTLE PINES FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 06D2148473

Facility Name: CASTLE PINES FAMILY PRACTICE

Facility Address:
7280 LAGAE RD, UNIT J
CASTLE ROCK, CO
ZIP 80108
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Facility Phone Number: 303 814-0505

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700153301

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	06D2148473
LAB Type	Physician Office
Facility Name	CASTLE PINES FAMILY PRACTICE
Street	7280 LAGAE RD, UNIT J
City	CASTLE ROCK
State	CO
ZIP	80108
Phone	303 814-0505
CertificateType	4
CertificateEffectiveDate	5/11/2024
CertificateExpirationDate	5/10/2026
FacilityType	Waiver

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