06D2182693 CLIA NUMBER - MILE HIGH REGENERATIVE AND PAIN THERAPY

Laboratory Demographics

  • CLIA Code: 06D2182693
  • Facility Name: MILE HIGH REGENERATIVE AND PAIN THERAPY
  • Facility Address: 12596 W BAYAUD AVE SUITE 205
    LAKEWOOD, CO
    ZIP 80228
  • Facility Phone: 303 945-4790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT E. BROWN
  • NPI Number: 1427695881
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 06D2182693
LAB Type Physician Office
Facility Name MILE HIGH REGENERATIVE AND PAIN THERAPY
Street 12596 W BAYAUD AVE SUITE 205
City LAKEWOOD
State CO
ZIP 80228
Phone 303 945-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director ROBERT E. BROWN

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This page was last updated on: 6/4/2025