06D2166134 CLIA NUMBER - ROCKY MOUNTAIN CLINIC - NORTHGLENN

Laboratory Demographics

  • CLIA Code: 06D2166134
  • Facility Name: ROCKY MOUNTAIN CLINIC - NORTHGLENN
  • Facility Address: 11172 HURON ST, SUITE 20
    NORTHGLENN, CO
    ZIP 80234
  • Facility Phone: 303 568-9694
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLARK S. MCCOY
  • NPI Number: 1205552254
  • Taxonomy: 207QA0401X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2166134
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN CLINIC - NORTHGLENN
Street 11172 HURON ST, SUITE 20
City NORTHGLENN
State CO
ZIP 80234
Phone 303 568-9694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. CLARK S. MCCOY

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