06D2190121 CLIA NUMBER - SUMMIT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 06D2190121
  • Facility Name: SUMMIT PRIMARY CARE
  • Facility Address: 799 EAST HAMPDEN AVE, SUITE 315
    ENGLEWOOD, CO
    ZIP 80113
  • Facility Phone: 719 281-3285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE S. WILNER
  • NPI Number: 1316561558
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2190121
LAB Type Physician Office
Facility Name SUMMIT PRIMARY CARE
Street 799 EAST HAMPDEN AVE, SUITE 315
City ENGLEWOOD
State CO
ZIP 80113
Phone 719 281-3285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director LAWRENCE S. WILNER

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