06D2198117 CLIA NUMBER - MIDTOWN DENTAL, LLP

Laboratory Demographics

  • CLIA Code: 06D2198117
  • Facility Name: MIDTOWN DENTAL, LLP
  • Facility Address: 1800 VINE ST
    DENVER, CO
    ZIP 80206
  • Facility Phone: 303 377-2345
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KURT K. TSUMURA
  • NPI Number: 1326155649
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 06D2198117
LAB Type Practitioner Other
Facility Name MIDTOWN DENTAL, LLP
Street 1800 VINE ST
City DENVER
State CO
ZIP 80206
Phone 303 377-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Practitioner Other
Lab Director KURT K. TSUMURA

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