06D2210312 CLIA NUMBER - QUAIL CREEK CLINIC

Laboratory Demographics

  • CLIA Code: 06D2210312
  • Facility Name: QUAIL CREEK CLINIC
  • Facility Address: 2055 W 136TH AVE STE B118
    BROOMFIELD, CO
    ZIP 80023
  • Facility Phone: 303 673-1570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN LEONARD
  • NPI Number: 1760090146
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2210312
LAB Type Physician Office
Facility Name QUAIL CREEK CLINIC
Street 2055 W 136TH AVE STE B118
City BROOMFIELD
State CO
ZIP 80023
Phone 303 673-1570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DR. BRIAN LEONARD

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