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06D2225876 CLIA NUMBER - MOBILE OUTREACH ALLIANCE

Laboratory Demographics

CLIA Number: 06D2225876

Facility Name: MOBILE OUTREACH ALLIANCE

Facility Address:
8422 WEST 78TH CIRCLE
ARVADA, CO
ZIP 80005
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Facility Phone Number: 303 506-4698

Facility Type: Other - DENTAL

Certificate Type: Waiver
NPI Number: 1265067425

Taxonomy: 124Q00000X - Dental Hygienist
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

CLIA Record

Field Name Field Value
CLIA Number 06D2225876
LAB Type Other - DENTAL
Facility Name MOBILE OUTREACH ALLIANCE
Street 8422 WEST 78TH CIRCLE
City ARVADA
State CO
ZIP 80005
Phone 303 506-4698
CertificateType 4
CertificateEffectiveDate 5/25/2023
CertificateExpirationDate 5/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024