06D2213347 CLIA NUMBER - LARKRIDGE CLINIC

Laboratory Demographics

  • CLIA Code: 06D2213347
  • Facility Name: LARKRIDGE CLINIC
  • Facility Address: 16570 WASHINGTON STREET
    THORNTON, CO
    ZIP 80023
  • Facility Phone: 303 689-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS D. MINO
  • NPI Number: 1871107748
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2213347
LAB Type Physician Office
Facility Name LARKRIDGE CLINIC
Street 16570 WASHINGTON STREET
City THORNTON
State CO
ZIP 80023
Phone 303 689-6600
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. THOMAS D. MINO

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