06D2173382 CLIA NUMBER - ROCKY MOUNTAIN CLINIC - GREELEY

Laboratory Demographics

  • CLIA Code: 06D2173382
  • Facility Name: ROCKY MOUNTAIN CLINIC - GREELEY
  • Facility Address: 8223 W 20TH ST, SUITE 100A
    GREELEY, CO
    ZIP 80634
  • Facility Phone: 970 702-2705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLARK S. MCCOY
  • NPI Number: 1598281875
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2173382
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN CLINIC - GREELEY
Street 8223 W 20TH ST, SUITE 100A
City GREELEY
State CO
ZIP 80634
Phone 970 702-2705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director DR. CLARK S. MCCOY

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