06D2213353 CLIA NUMBER - INTERMOUNTAIN HEART AND VASCULAR LUTHERAN CARDIAC AND THORACIC

Laboratory Demographics

  • CLIA Code: 06D2213353
  • Facility Name: INTERMOUNTAIN HEART AND VASCULAR LUTHERAN CARDIAC AND THORACIC
  • Facility Address: 12905 WEST 40TH AVE, SUITE 305
    GOLDEN, CO
    ZIP 80401
  • Facility Phone: 303 403-6450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RUCHIKA HUSA
  • NPI Number: 1437768124
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2213353
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEART AND VASCULAR LUTHERAN CARDIAC AND THORACIC
Street 12905 WEST 40TH AVE, SUITE 305
City GOLDEN
State CO
ZIP 80401
Phone 303 403-6450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director DR. RUCHIKA HUSA

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