06D2166905 CLIA NUMBER - CHERRY CREEK CLINIC - PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2166905
  • Facility Name: CHERRY CREEK CLINIC - PRIMARY CARE
  • Facility Address: 400 S COLORADO BLVD, SUITE 900
    DENVER, CO
    ZIP 80246
  • Facility Phone: 720 318-3520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARY CANTRELL
  • NPI Number: 1114950250
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 06D2166905
LAB Type Physician Office
Facility Name CHERRY CREEK CLINIC - PRIMARY CARE
Street 400 S COLORADO BLVD, SUITE 900
City DENVER
State CO
ZIP 80246
Phone 720 318-3520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director DR. GARY CANTRELL

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