06D2196092 CLIA NUMBER - CASTLE PINES PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D2196092
  • Facility Name: CASTLE PINES PEDIATRICS
  • Facility Address: 7501 VILLAGE SQUARE DRIVE STE 207
    CASTLE ROCK, CO
    ZIP 80108
  • Facility Phone: 720 779-1991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER C. MULHAUSEN
  • NPI Number: 1891312336
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D2196092
LAB Type Physician Office
Facility Name CASTLE PINES PEDIATRICS
Street 7501 VILLAGE SQUARE DRIVE STE 207
City CASTLE ROCK
State CO
ZIP 80108
Phone 720 779-1991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director JENNIFER C. MULHAUSEN

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