06D2170302 CLIA NUMBER - PEAK INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 06D2170302
  • Facility Name: PEAK INTERNAL MEDICINE
  • Facility Address: 400 S MCCASLIN BLVD SUITE 200
    LOUISVILLE, CO
    ZIP 80027
  • Facility Phone: 720 222-0648
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JENNIFER TAMBLYN
  • NPI Number: 1619452364
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2170302
LAB Type Physician Office
Facility Name PEAK INTERNAL MEDICINE
Street 400 S MCCASLIN BLVD SUITE 200
City LOUISVILLE
State CO
ZIP 80027
Phone 720 222-0648
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director DR. JENNIFER TAMBLYN

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