06D2221099 CLIA NUMBER - FOOTPRINTS RECOVERY CO, LLC

Laboratory Demographics

  • CLIA Code: 06D2221099
  • Facility Name: FOOTPRINTS RECOVERY CO, LLC
  • Facility Address: 6505 S PARIS ST
    CENTENNIAL, CO
    ZIP 80111
  • Facility Phone: 720 450-9764
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. LISA TOMSAK
  • NPI Number: 1154808384
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2221099
LAB Type Comp. Outpatient Rehab Facility
Facility Name FOOTPRINTS RECOVERY CO, LLC
Street 6505 S PARIS ST
City CENTENNIAL
State CO
ZIP 80111
Phone 720 450-9764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. LISA TOMSAK

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