06D2176430 CLIA NUMBER - MARK BARAVIK FNP, LLC, FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 06D2176430
  • Facility Name: MARK BARAVIK FNP, LLC, FAMILY PRACTICE
  • Facility Address: 1550 S POTOMAC ST, SUITE 110
    AURORA, CO
    ZIP 80012
  • Facility Phone: 303 536-5020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK BARAVIK
  • NPI Number: 1033547252
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 06D2176430
LAB Type Physician Office
Facility Name MARK BARAVIK FNP, LLC, FAMILY PRACTICE
Street 1550 S POTOMAC ST, SUITE 110
City AURORA
State CO
ZIP 80012
Phone 303 536-5020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director MARK BARAVIK

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