06D2225876 CLIA NUMBER - MOBILE OUTREACH ALLIANCE

Laboratory Demographics

  • CLIA Code: 06D2225876
  • Facility Name: MOBILE OUTREACH ALLIANCE
  • Facility Address: 8422 WEST 78TH CIRCLE
    ARVADA, CO
    ZIP 80005
  • Facility Phone: 303 506-4698
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: OLGA KOGAN
  • NPI Number: 1265067425
  • Taxonomy: 124Q00000X - Dental Hygienist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Other - DENTAL
Lab Director OLGA KOGAN

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